Individual
ADRIANA A BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 E FLOWER ST, PHOENIX, AZ 85014-5698
(602) 530-6900
Mailing address
14347 W CHARTER OAK RD, SURPRISE, AZ 85379-5655
(623) 208-2991
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
161284
AZ
Other
Enumeration date
11/17/2019
Last updated
11/17/2019
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