Alan Cairns Bonsall
Technician, Attendant Care Provider in Mint Hill, NC. Individual provider (NPI-1).
NPI number1164037057
StatusActive
Last updated in NPPESSep 9, 2020
Details
- NPI
- 1164037057
- Entity type
- Individual (NPI-1)
- Name
- Alan Cairns Bonsall
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 9, 2020
- Certification date
- Sep 9, 2020
- Last updated
- Sep 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
10127 Misty Moss CtMint Hill, NC 28227-8120
Phone 704-779-4382
Mailing address
6517 Old Magnolia LnMint Hill, NC 28227-8117
Phone 980-474-9035
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