Individual
MS. LATOYA MICHELLE BONNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
548 BLUE RIDGE AVE, BEDFORD, VA 24523
(540) 586-4723
(540) 586-5269
Mailing address
548 BLUE RIDGE AVE, BEDFORD, VA 24523-2604
(540) 586-4723
(540) 586-5269
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002565
VA
Other
Enumeration date
07/16/2007
Last updated
03/29/2019
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