Dominique Gaetano Bonelli

NPI #1285190603 in Saltsburg, Pennsylvania

Provider Information

NPI Number: 1285190603
Entity Type: Individual
Name: Dominique Gaetano Bonelli
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 11, 2019
Last Updated: Feb 11, 2019

Practice Location

Address: 1933 STATE ROUTE 286
City: Saltsburg
State: Pennsylvania
ZIP Code: 15681-2276
Phone: (724) 980-2467

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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