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Individual
ISABEL MARCANO BONILLA
Active
Individual
ISABEL MARCANO BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT209370
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D0089639
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/18/2015
Last updated
07/21/2020
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