Search › Washington › 171100000X
Kelly Bonavena, L.AC, MSOM
NPI 1841455342 · on the registry since 2008 · sole proprietor
Practice
- Address
- 102 N Meridian
Unit 3a
Puyallup, WA 98371 - Phone
- (253) 970-8256
- Fax
- (206) 420-7133
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-07-28
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 Washington