Individual
DR. JOSEPH BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, RD
Contact information
Practice address
2423 LOCKHILL SELMA RD, 1602, SAN ANTONIO, TX 78230-3066
(210) 241-0598
Mailing address
2423 LOCKHILL SELMA RD, 1602, SAN ANTONIO, TX 78230-3066
(210) 241-0598
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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