Individual
BRENDA L BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
811 W TELEGRAPH RD, SANTA PAULA, CA 93060-5400
(888) 255-9280
Mailing address
2916 ALVARADO ST, OXNARD, CA 93036-1707
(805) 816-6521
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
702635
CA
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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