Provider Demographics
NPI:1932707759
Name:GUERRIERO, BONNIE C
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:C
Last Name:GUERRIERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3217 CLAIBORNE CIR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-2007
Mailing Address - Country:US
Mailing Address - Phone:318-376-4252
Mailing Address - Fax:
Practice Address - Street 1:3217 CLAIBORNE CIR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-2007
Practice Address - Country:US
Practice Address - Phone:318-376-4252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered