JESSE ANTHONY BONILLA

SANTA ANA, CA
NPI1689440711
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95028137)
Enumeration Date2023-11-29
Last Update Date2024-04-27
Business Address
Mr. JESSE ANTHONY BONILLA PMHNP-BC
2112 E 4TH ST STE 228A
SANTA ANA, CA 92705-3840
Phone number: 714-420-9890
Mailing Address
Mr. JESSE ANTHONY BONILLA PMHNP-BC
4206 APRICOT DR
IRVINE, CA 92618-4405
Phone number: 714-420-9890
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