Individual
JOHANCARINA BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1360 NELSON AVE APT 4D, BRONX, NY 10452-2446
(347) 863-2383
Mailing address
1360 NELSON AVE APT 4D, BRONX, NY 10452-2446
(347) 863-2383
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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