RICHAR LAZARO BONILLA DIAZ

PALMETTO BAY, FL
NPI1437727245
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2021-06-16
Last Update Date2021-06-16
Business Address
RICHAR LAZARO BONILLA DIAZ BS/TCM
15924 SW 92ND AVE
PALMETTO BAY, FL 33157-1842
Phone number: 305-964-5824
Mailing Address
RICHAR LAZARO BONILLA DIAZ BS/TCM
6810 NW 75TH ST
MEDLEY, FL 33166-2549
Phone number: 786-593-2713