Individual
MELVIN BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2710 S MAIN ST STE C, SALISBURY, NC 28147-7916
(704) 642-2020
Mailing address
2710 S MAIN ST STE C, SALISBURY, NC 28147-7916
(704) 642-2020
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
23417025
NC
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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