Jake Bonasera
Jake Bonasera is a Counselor in Salt Lake City, Utah. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
4460 S Highland Dr 230Salt Lake City, UT 84124-3543
Phone: (888) 949-4864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1922542349 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 5, 2016 |
| Last updated in NPPES | December 5, 2016 |
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