Johanis Bonilla
Johanis Bonilla is a Student in an Organized Health Care Education/Training Program in New York, New York. Practices as a sole proprietor. Licensed in New Jersey and Pennsylvania.
- Licensed in
- NJ, PA
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
New York, NYNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X (NJ) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (PA) |
Record details
| NPI number | 1083329122 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 23, 2023 |
| Last updated in NPPES | October 7, 2024 |
| Certification date | October 7, 2024 |
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