Individual
KATHERINE BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 WILLOW ST, WEST ROXBURY, MA 02132-1537
(617) 469-3080
Mailing address
25 WILLOW ST, WEST ROXBURY, MA 02132-1537
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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