Search › Ohio › 101YP2500X
Bridgette Bonifas
NPI 1922584176 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1016 Rainbow Ct
Fairborn, OH 45324 - Phone
- (937) 641-3401
- Fax
- (937) 641-3046
- Clinicians at this address
- 4
Additional practice sites
- 410 Valley St, Dayton, OH
- 320 E Silver St, Lebanon, OH
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-07
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 Ohio