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Katherine Bonanno

Homemaker in Willoughby, OH. Individual provider (NPI-1).

NPI number1093528762
StatusActive
Last updated in NPPESJan 28, 2025

Details

NPI
1093528762
Entity type
Individual (NPI-1)
Name
Katherine Bonanno
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 28, 2025
Certification date
Jan 28, 2025
Last updated
Jan 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker––Yes

Practice location

38680 Old Willoughby Dr
Willoughby, OH 44094-8827

Phone 440-749-1976

Mailing address

38680 Old Willoughby Dr
Willoughby, OH 44094-8827

Phone 440-749-1976

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