Individual
EMMANUEL BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14604 S 23RD ST, BELLEVUE, NE 68123-6834
(808) 852-1610
Mailing address
PO BOX 787, BOYS TOWN, NE 68010-0787
(402) 393-0753
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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