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Individual

DR. JENNIFER BONILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
H23 AVE PINO, CAGUAS, PR 00725-6146
(787) 344-1392
Mailing address
VILLA BLANCA CALLE TURQUESA #63, CAGUAS, PR 00725
(787) 344-1392

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
851
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14369
CHIROPRACTIC LICENSE
TX
01
851
CHIROPRACTIC LICENSE
PR
Enumeration date
02/12/2020
Last updated
11/13/2023
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