JOSE BONILLA

VAN NUYS, CA
NPI1023447059
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-11-12
Last Update Date2013-11-12
Business Address
-- JOSE BONILLA
6265 SEPULVEDA 9
VAN NUYS, CA 91411
Phone number: 818-468-7413
Mailing Address
-- JOSE BONILLA
6265 SEPUVEDA BLVD
VAN NUYS, CA 91411
Phone number: 818-468-7413
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