person
Latuavia Bonner
Prosthetics Case Management in Grand Prairie, Texas
NPI 1598490336

Latuavia Bonner is a Prosthetics Case Management based in Grand Prairie, TX and is specialized in Prosthetics Case Management. Latuavia Bonner practices in Grand Prairie, TX. The NPI Number for Latuavia Bonner is 1598490336 and holds a License No. 1478578 (Texas).

The current practice location address for Latuavia Bonner is 2303 Avenue H, Grand Prairie, TX and can be reached out via phone at 469-883-9216.

Location: 2303 Avenue H, Grand Prairie, TX, 75050-2789
person
Provider Profile Details
NPI Number
1598490336
Provider Name
Latuavia Bonner
Credential
Provider Entity Type
Individual
Gender
Female
Address
2303 Avenue H, Grand Prairie, TX, 75050-2789
Phone Number
469-883-9216
Fax Number
Provider Enumeration Date
07/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2303 Avenue H
City
State
Zip
75050-2789
Phone Number
469-883-9216
Fax Number
person
Provider Business Mailing Address Details
Address
2303 Avenue H
City
State
Zip
75050-2789
Phone Number
469-883-9216
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
1478578 (Texas)
Definition
Definition to come...
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