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Uaketha Bonner

NPI 1518795079 · on the registry since 2024

Practice

Address
1037 William Dr
Slidell, LA 70460
Phone
(601) 365-4030

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-07-24

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 Louisiana