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Shanda Bonner
NPI 1609207893 · on the registry since 2013
Practice
- Address
- 1504 Park Way Dr
Saint Louis, MO 63130 - Phone
- (314) 449-4946
- Fax
- (314) 449-4946
- Organisation at this address
- Abundant Care Consumer Direct Services Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Sex
- Female
- Record last updated
- 2013-12-12
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 Missouri