Individual
KAYLA MARIA BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
800 W MEETING ST, LANCASTER, SC 29720-2202
(803) 286-1214
Mailing address
3794 BURNAGE HALL RD, HARRISBURG, NC 28075-5608
(704) 787-6222
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
29130
SC
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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