Individual
MRS. JENNIFER BONNEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
5327 BARONET DR, KATY, TX 77493-1496
(281) 796-2632
Mailing address
5327 BARONET DR, KATY, TX 77493-1496
(281) 796-2632
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
303152
TX
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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