DANIEL BONILLA

CALDWELL, ID
NPI1386408730
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  78711)
Enumeration Date2024-02-07
Last Update Date2024-02-07
Business Address
DANIEL BONILLA CRNA
1717 ARLINGTON AVE
CALDWELL, ID 83605-4802
Phone number: 208-459-4641
Mailing Address
DANIEL BONILLA CRNA
1717 ARLINGTON AVE
CALDWELL, ID 83605-4802
Phone number: