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Individual

MRS. MARISOL BONILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
PMB 157 BOX 3505, JUANA DIAZ, PR 00795
(787) 312-7424
(787) 844-4130
Mailing address
PMB 157 BOX 3505, JUANA DIAZ, PR 00795
(787) 312-7424
(787) 844-4130

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
18851
PR

Other

Enumeration date
09/13/2010
Last updated
09/13/2010
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