Individual
MR. DANIEL JOSUE BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
16754 E BELLBROOK ST, COVINA, CA 91722-2404
(626) 905-8437
Mailing address
16754 E BELLBROOK ST, COVINA, CA 91722-2404
(626) 905-8437
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
050802015
HI
Other
Enumeration date
01/14/2014
Last updated
07/15/2014
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