Individual
JACKELINE MELANY RODRIGUEZ-BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
309 CRUTCHFIELD ST, DURHAM, NC 27704-2754
(602) 650-1212
Mailing address
11361 N 99TH AVE STE 402, PEORIA, AZ 85345-5459
(602) 650-1212
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
2025-10998-01
NC
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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