TARA BONILLA

SAN DIEGO, CA
NPI1659766822
Other NameTARA BONILLA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2015-04-03
Last Update Date2015-04-03
Business Address
-- TARA BONILLA
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6400
Mailing Address
-- TARA BONILLA
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: