Most Relevant Information
Provider Data
| NPI Number: | 1003426107 |
| Provider Name: | CELENA BOUNVILAY PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 0010-10364 |
Most Important Dates
| Enumeration Date: | 08/04/2020 |
| Last Updated: | 08/04/2020 |
Provider Practice Location
908 S WILLIAMSON AVE
ELON
NC
272449280
Practice Location Phone/Fax
| Phone: | 3365382314 |
| Fax: |
Provider Mailing Location
1913 BROADWAY DR
GRAHAM
NC
272534326
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |