Individual
CONNIE BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4634 HIGH POINT LN, HOUSTON, TX 77053-1212
(346) 773-6464
Mailing address
4634 HIGH POINT LN, HOUSTON, TX 77053-1212
(346) 773-6464
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
353034
TX
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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