Individual
ELIZABETH BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
3824 N ELM ST STE 201, GREENSBORO, NC 27455-2733
(336) 542-2015
(336) 542-2017
Mailing address
3824 N ELM ST STE 201, GREENSBORO, NC 27455-2733
(336) 542-2015
(336) 542-2017
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
30000697
NC
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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