Bryce Bonin
Student in an Organized Health Care Education/Training Program in Shreveport, LA. Individual provider (NPI-1).
NPI number1619672003
StatusActive
Last updated in NPPESApr 4, 2023
Details
- NPI
- 1619672003
- Entity type
- Individual (NPI-1)
- Name
- Bryce Bonin
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 4, 2023
- Certification date
- Apr 4, 2023
- Last updated
- Apr 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1501 Kings HwyShreveport, LA 71103-4228
Phone 318-626-0203
Mailing address
1501 Kings HwyShreveport, LA 71103-4228
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All 694 Student in an Organized Health Care Education/Training Program providers in Shreveport · All 11,081 providers in Shreveport
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