Individual
MARIANA BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1932 LAKE ATRIUMS CIRCLE, APT# 82, ORLANDO, FL 32839
(407) 860-8652
Mailing address
1932 LAKE ATRIUMS CIR APT 82, ORLANDO, FL 32839-5322
(407) 860-8652
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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