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Individual

MR. RAFAEL BONILLA-FERMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3801 HANSBERRY CT NE, WASHINGTON, DC 20018-3818
(202) 285-1246
(202) 636-3728
Mailing address
3801 HANSBERRY CT NE, WASHINGTON, DC 20018-3818
(120) 228-5124
(202) 636-3728

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
04/08/2021
Last updated
04/08/2021
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