MIMZY BOHANNON

Licensed Practical Nurse

NPI: 1912692807Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

27067174A(IN)

Contact & Hours

Address: 1540 TRINITY PL
MISHAWAKA, IN 46545
Phone: (574) 272-9000

Quick Facts

NPI: 1912692807
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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