Individual
MR. JOSUE BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RV.
Contact information
Practice address
337 PASADENA AVE, HASBROUCK HEIGHTS, NJ 07604-2317
(201) 290-8111
Mailing address
337 PASADENA AVE, HASBROUCK HEIGHTS, NJ 07604-2317
(201) 290-8111
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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