OTTO JOSEPH BONIN

ZACHARY, LA
NPI1558368316
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: LA  RN085359 - AP04429)
Enumeration Date2005-07-07
Last Update Date2024-07-08
Business Address
OTTO JOSEPH BONIN NP
1215 INDEPENDENCE BLVD 1A
ZACHARY, LA 70791-7391
Phone number: 225-570-2010
Mailing Address
OTTO JOSEPH BONIN NP
1215 INDEPENDENCE BLVD 1A
ZACHARY, LA 70791-7391
Phone number: 225-570-2010