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Individual

ALEJANDRA BONILLA-ROJAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
751 W LEGION RD STE 102, BRAWLEY, CA 92227-7754
(760) 351-8696
(760) 545-0253
Mailing address
516 W ATEN RD STE 2, IMPERIAL, CA 92251-9805
(760) 355-7730

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95013421
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95013421
FNP LICENSE
CA
Enumeration date
12/09/2019
Last updated
12/09/2019
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