Shannon Bonaventure

NPI #1811369457 in Lewes, Delaware

Provider Information

NPI Number
1811369457
Entity Type
Individual
Name
Shannon Bonaventure
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Oct 22, 2015
Last Updated
Oct 22, 2015

Practice Location

Address
20251 JOHN J WILLIAMS HWY
City
Lewes
ZIP Code
19958-4314
Phone
(302) 644-6860

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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