IndividualActive
Latuavia Bonner
NPI 1598490336 · Prosthetics Case Management · Grand Prairie, TX
Provider details
- NPI number
- 1598490336
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1478578 (TX)
Specialties & taxonomies
Other Service Providers
Practice location
2303 Avenue H
Grand Prairie, TX 75050-2789
Phone: (469) 883-9216
Approximate (ZIP-level) locationGet directions
Mailing address
2303 Avenue H
Grand Prairie, TX 75050-2789
Registry dates
- Enumerated
- 2022-07-17
- Last updated
- 2022-07-17
- Certified
- 2022-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.