Individual
MR. EDUARDO BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
INTERN
Contact information
Practice address
474 W 200 N, SAINT GEORGE, UT 84770-4505
(435) 634-5600
Mailing address
130 ESSEX ST # 34A, SOUTH HAMILTON, MA 01982-2395
(419) 908-6784
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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