KELLY BONAVENA

PUYALLUP, WA
NPI1841455342
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: WA  AC 00003070)
Enumeration Date2008-07-23
Last Update Date2008-07-28
Business Address
Mrs. KELLY BONAVENA L.ac, MSOM
102 N MERIDIAN UNIT 3A
PUYALLUP, WA 98371-8630
Phone number: 253-970-8256
Mailing Address
Mrs. KELLY BONAVENA L.ac, MSOM
12221 SHOREWOOD DR SW
BURIEN, WA 98146-2411
Phone number: 203-824-2625
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