Whalio Doctors

NPI 1639261308

Gina Marie Bonavito Larragoite, DC

Practitioner Chiropractor Anthem, AZ

Practice location

Address
3624 W Anthem Way Suite C 110, Anthem, AZ 85086
Phone
(623) 551-9950
Fax
(623) 551-2454

Registered specialties

Chiropractor Primary
Chiropractic Providers Taxonomy 111N00000X Licence 7282 (AZ)

Registry record

NPI
1639261308
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Sep 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.