Individual
LASHONDRA BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2113 THIRD AVE, MACON, GA 31204-3016
(299) 644-2017
Mailing address
2113 THIRD AVE, MACON, GA 31204-3016
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0030096958
GA
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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