Individual
MISS AIDA BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1150 SAINT JAMES AVE, SPRINGFIELD, MA 01104-1311
(413) 417-3727
Mailing address
1150 SAINT JAMES AVE, SPRINGFIELD, MA 01104-1311
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN2326019
MA
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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