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Jessica Bonvenca

NPI 1528735628 · on the registry since 2021 · sole proprietor

Practice

Address
138 Villa Di Este Ter Unit 208
Lake Mary, FL 32746
Phone
(732) 299-1720

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
235Z00000X
Licence states on file
NJ, FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-08-26

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 Florida