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Individual

DOREEN BONILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
23511 MARINE VIEW DR S, DES MOINES, WA 98198-7351
(206) 395-4748
Mailing address
23511 MARINE VIEW DR S, DES MOINES, WA 98198-7351
(206) 395-4748

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00068061
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1118809
NPI
WA
Enumeration date
02/06/2023
Last updated
02/06/2023
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