EDGAR BONILLA DOOLAN

SAN DIEGO, CA
NPI1467215442
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CA  86343784)
Enumeration Date2024-02-02
Last Update Date2024-11-19
Business Address
EDGAR BONILLA DOOLAN
4754 LENORE DR
SAN DIEGO, CA 92115-4207
Phone number: 631-704-9724
Mailing Address
EDGAR BONILLA DOOLAN
4754 LENORE DR
SAN DIEGO, CA 92115-4207
Phone number: 631-704-9724
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