Individual
BONNI ELLEN HAITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
153 GEORGE ST, MEDFORD, MA 02155-5439
(617) 949-1132
Mailing address
153 GEORGE ST, MEDFORD, MA 02155-5439
(617) 949-1132
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN215174
MA
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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