Individual
DIANA BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
5301 E GRANT RD, TUCSON, AZ 85712-2805
(520) 327-5461
Mailing address
8912 E INDIAN BEND RD, TUCSON, AZ 85749-9402
(520) 780-7548
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN097368
AZ
Other
Enumeration date
03/21/2022
Last updated
03/25/2022
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