Individual
SEBASTIAN BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
6415 SAN FELIPE ST STE C, HOUSTON, TX 77057-2700
(832) 975-7045
Mailing address
2770 SUMMER ST APT 3103, HOUSTON, TX 77007-4385
(832) 970-3266
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC02070
TX
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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