Individual
KAYLA BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 N R ST, MADERA, CA 93637-4465
(559) 395-0450
Mailing address
117 N R ST, MADERA, CA 93637-4465
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
12/09/2024
Last updated
04/06/2026
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