Individual
MR. ELIGIO BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 C CT, ASHTABULA, OH 44004-4577
(440) 998-4210
(440) 998-2247
Mailing address
2801 C CT, ASHTABULA, OH 44004-4577
(440) 998-4210
(440) 998-2247
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
OH
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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