Individual
HELEN BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 THOMAS JOHNSON DR STE H, FREDERICK, MD 21702-4893
(301) 414-2300
Mailing address
20507 LOWFIELD DR, GERMANTOWN, MD 20874-2817
(240) 313-8899
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R214958
MD
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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