Individual
MS. CRISTINA BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8330 RESEDA BLVD, NORTHRIDGE, CA 91324
(818) 996-1051
Mailing address
8330 RESEDA BLVD, NORTHRIDGE, CA 91324-4619
(818) 996-1051
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
85154
CA
Other
Enumeration date
08/01/2011
Last updated
12/29/2021
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