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Augusta Bonner
NPI 1730856444 · on the registry since 2021 · sole proprietor
Practice
- Address
- 5502 Karen Elaine Dr Apt 919
New Carrollton, MD 20784 - Phone
- (240) 604-6817
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Also registered as
- 376K00000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland