ERIC BONILLA

LONG BEACH, CA
NPI1447555917
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2011-01-14
Last Update Date2011-01-14
Business Address
ERIC BONILLA B.A.
1501 HUGHES WAY 150
LONG BEACH, CA 90810-1876
Phone number: 310-868-5379
Mailing Address
ERIC BONILLA B.A.
1087 W. VICTORIA STREET
COMPTON, CA 90220-5804
Phone number: 310-868-5379
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