MS. Bonita Lyn Powers I
NPI #1790173144 in Espanola, New Mexico
Provider Information
- NPI Number
- 1790173144
- Entity Type
- Individual
- Name
- MS. Bonita Lyn Powers I
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 7, 2015
- Last Updated
- Jan 7, 2015
Practice Location
- Address
- 1206 N RIVERSIDE DR
- City
- Espanola
- State
- New Mexico
- ZIP Code
- 87532-2811
- Phone
- (505) 747-7400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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