Individual
ROBERT BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED DIETICIAN
Contact information
Practice address
4241 11TH AVE NE, SUITE B, SEATTLE, WA 98105-4699
(206) 909-8022
(206) 909-8022
Mailing address
401 E MERCER ST, APT 106, SEATTLE, WA 98102-4792
(206) 909-8022
(206) 909-8022
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
60646159
WA
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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