BONITA JOAN CLARK

ST PETERSBURG, FL
NPI1639686363
Former NameBONITA JOAN HOLLOMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: FL  APRN11000995)
Enumeration Date2018-01-03
Last Update Date2022-05-20
Business Address
BONITA JOAN CLARK APRN
1839 CENTRAL AVE
ST PETERSBURG, FL 33713-8900
Phone number: 727-322-1054
Mailing Address
BONITA JOAN CLARK APRN
1839 CENTRAL AVE
ST PETERSBURG, FL 33713-8900
Phone number: 727-322-1054
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