Individual
EVELIO BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13000 MARLOW FARM DR, SILVER SPRING, MD 20904-7112
(240) 688-8504
Mailing address
13000 MARLOW FARM DR, SILVER SPRING, MD 20904-7112
(240) 688-8504
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
AHI10341
DC
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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