Individual
ANGELICA MARIE BONILLA TANON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2514 PASEO AMPARO, TOA BAJA, PR 00949-4323
(939) 200-5353
Mailing address
2514 PASEO AMPARO, TOA BAJA, PR 00949-4323
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6330
PR
Other
Enumeration date
11/07/2022
Last updated
04/13/2025
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