BIANCA ANTOINETTE BONILLA

FOLKSTON, GA
NPI1821532961
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  15458)
Enumeration Date2016-12-08
Last Update Date2016-12-08
Business Address
-- BIANCA ANTOINETTE BONILLA 224z00000x
36261 OKEFENOKEE DR
FOLKSTON, GA 31537-7853
Phone number: 912-496-7396
Mailing Address
-- BIANCA ANTOINETTE BONILLA 224z00000x
2894 WEST 8TH ST.
JACKSONVILLE, FL 32254
Phone number: 904-325-8677
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