Bonita M Anderson
Student in an Organized Health Care Education/Training Program in Dayton, OH. Individual provider (NPI-1).
NPI number1093121048
StatusActive
Last updated in NPPESJul 9, 2014
Details
- NPI
- 1093121048
- Entity type
- Individual (NPI-1)
- Name
- Bonita M Anderson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 9, 2014
- Last updated
- Jul 9, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
610 W Alex Bell RdDayton, OH 45459-3002
Phone 937-321-4824
Mailing address
610 W Alex Bell RdDayton, OH 45459-3002
Phone 937-321-4824
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