Latuavia Bonner
Latuavia Bonner is a Prosthetics Case Management in Grand Prairie, Texas. Licensed in Texas. Registered with an NPI since 2022.
- Licensed in
- TX
- In the registry since
- 2022
Practice location Address checks out
2303 Avenue HGrand Prairie, TX 75050-2789
Phone: (469) 883-9216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetics Case Management (primary) | Taxonomy 1744P3200X · Licence 1478578 (TX) |
|---|
Record details
| NPI number | 1598490336 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 17, 2022 |
| Last updated in NPPES | July 17, 2022 |
| Certification date | July 17, 2022 |
| Mailing address | 2303 Avenue H, Grand Prairie, TX 75050-2789 |