Individual provider · NPI-1
Dr. Bonnie Melissa Cefalu, DVM
Veterinarian · Jackson, MS
NPI number1437475407
StatusActive
Last updated in NPPESApr 15, 2010
Details
- NPI
- 1437475407
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bonnie Melissa Cefalu
- Credential
- DVM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2010
- Last updated
- Apr 15, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174M00000X | Veterinarian | T1820 | MS | Yes |
Practice location
4960 Old Canton Rd.Jackson, MS 39211
Phone 601-956-6144 · Fax 601-956-6145
Mailing address
4960 Old Canton Rd.Jackson, MS 39211
Phone 601-956-6144 · Fax 601-956-6145
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