Individual
ADAN BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
621 E CARNEGIE DR SUITE 210, SAN BERNARDINO, CA 92415-5148
(909) 386-9754
Mailing address
621 E CANEGIE DR SUTE 210, SAN BERNARDINO, CA 92415-0001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/18/2010
Last updated
04/04/2018
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