Individual
JULIE L BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 KOKOMO RD, HAIKU, HI 96708-5006
(215) 600-9137
Mailing address
1025 KOKOMO RD, HAIKU, HI 96708-5006
(215) 600-9137
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
HI
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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