JENNIFER BONILLA

Specialist

Active Individual
NPI: 1700142270

Practice Address

1000 EDDY STREET
Providence, RI 02905

Phone: (401) 533-9100

Specialties

Specialty Code Primary License
Specialist 174400000X Yes -

Frequently Asked Questions

NPI 1700142270 is the National Provider Identifier for JENNIFER BONILLA, a Specialist provider located in Providence, RI. This NPI was enumerated on April 9, 2012.
JENNIFER BONILLA practices at 1000 EDDY STREET, Providence, RI 02905.

Quick Facts

NPI
1700142270
Type
Individual
Enumerated
Apr 9, 2012
Last Updated
Apr 9, 2012

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