Individual
DAVID HERRERA BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 WEDGEMONT PL, BAKERSFIELD, CA 93311-2964
(661) 330-1385
Mailing address
2100 WEDGEMONT PL, BAKERSFIELD, CA 93311-2964
(661) 330-1385
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
N3637331
CA
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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