Individual
MRS. AMANCIA BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
T.R.
Contact information
Practice address
CALLE 72, BLOQUE 125 CASA 16, CAROLINA, PR 00985-9711
(778) 763-7575
Mailing address
CALLE 72, BLOQUE 125 CASA 16, CAROLINA, PR 00985
(778) 763-7575
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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