SearchMichigan247200000X

Christal Bonner

NPI 1659772374 · on the registry since 2014 · sole proprietor

Practice

Address
5953 Bluehill St
Detroit, MI 48224
Phone
(313) 882-5475

Registry record

Primary taxonomy
247200000X
247200000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-09-12

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 Michigan