Individual
MRS. APRIL DAWN BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1890 N GAREY AVE, POMONA, CA 91767-2923
(909) 629-2400
Mailing address
932 N MCKEEVER AVE, AZUSA, CA 91702-2333
(626) 551-1492
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ICAN878
LA COUNTY DMH
CA
Enumeration date
02/01/2010
Last updated
02/01/2010
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