SHANDA BONNER

Contractor

Active Individual
NPI: 1609207893

Practice Address

1504 PARK WAY DR
Saint Louis, MO 63130

Phone: (314) 449-4946

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1609207893 is the National Provider Identifier for SHANDA BONNER, a Contractor provider located in Saint Louis, MO. This NPI was enumerated on December 12, 2013.
SHANDA BONNER practices at 1504 PARK WAY DR, Saint Louis, MO 63130.

Quick Facts

NPI
1609207893
Type
Individual
Enumerated
Dec 12, 2013
Last Updated
Dec 12, 2013

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