JESSICA LORENA BONILLA

SMITHTOWN, NY
NPI1043613516
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171400000X 
Additional Taxonomies235Z00000X Speech-Language Pathologist
(Licence: MD  07643)
Enumeration Date2014-09-29
Last Update Date2021-05-05
Business Address
MS. JESSICA LORENA BONILLA
156 LANDING MEADOW RD
SMITHTOWN, NY 11787-1100
Phone number: 631-626-6377
Mailing Address
MS. JESSICA LORENA BONILLA
156 LANDING MEADOW RD
SMITHTOWN, NY 11787-1100
Phone number: 631-626-6377