MS. Bonnie Lee Blue, C.N.A

NPI #1477563278 in Florence, South Carolina

Provider Information

NPI Number: 1477563278
Entity Type: Individual
Name: MS. Bonnie Lee Blue, C.N.A
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: C.N.A
Enumeration Date: Aug 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4023 E NATIONAL CEMETERY RD
City: Florence
State: South Carolina
ZIP Code: 29506-5238
Phone: (843) 229-2201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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