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Augusta Bonner

Home Health Aide in New Carrollton, MD. Individual provider (NPI-1).

NPI number1730856444
StatusActive
Last updated in NPPESSep 24, 2024

Details

NPI
1730856444
Entity type
Individual (NPI-1)
Name
Augusta Bonner
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 30, 2021
Certification date
Sep 24, 2024
Last updated
Sep 24, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes
376K00000X Nurse's AideA00001865MD

Practice location

5502 Karen Elaine Dr Apt 919
New Carrollton, MD 20784-4126

Phone 240-604-6817

Mailing address

5502 Karen Elaine Dr Apt 919
New Carrollton, MD 20784-4126

Phone 240-604-6817

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