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Search › Idaho › 101YM0800X

Bonita Avery, BA

NPI 1780941278 · on the registry since 2012

Practice

Address
1740 E 17th St
Idaho Falls, ID 83404
Phone
(208) 346-8866
Organisation at this address
Bmh, Inc
Pearl Group Homes
Pearl Group Homes
Family Care Center
Family Care Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
73

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-02-14

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 Idaho