ELIZABETH BONANNI

MOSCOW, ID
NPI1295245421
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2017-10-02
Last Update Date2017-10-02
Business Address
ELIZABETH BONANNI ATC
875 PERIMETER DR # MS 2302
MOSCOW, ID 83844-9803
Phone number: 540-604-7818
Mailing Address
ELIZABETH BONANNI ATC
301 LAUDER AVE APT 204
MOSCOW, ID 83843-4401
Phone number: 540-604-7818
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