Individual
GABRIELA BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 SIERRA CT STE B6, PALMDALE, CA 93550-7608
(323) 426-6402
Mailing address
190 SIERRA CT STE B6, PALMDALE, CA 93550-7608
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19350
CA
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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