GLENN BONILLA

BAKERSFIELD, CA
NPI1902262231
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95003592)
Enumeration Date2015-12-31
Last Update Date2015-12-31
Business Address
Mr. GLENN BONILLA NP-C
2615 CHESTER AVE
BAKERSFIELD, CA 93301-2014
Phone number: 661-395-3000
Mailing Address
Mr. GLENN BONILLA NP-C
10314 STONEHAM ST
BAKERSFIELD, CA 93314-8032
Phone number: 661-444-6446