Vanessa Andrea Bonilla

NPI #1013749332 in Joplin, Missouri

Provider Information

NPI Number: 1013749332
Entity Type: Individual
Name: Vanessa Andrea Bonilla
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 15, 2024
Last Updated: Aug 15, 2024

Practice Location

Address: 3001 SAINT JOHNS BLVD
City: Joplin
State: Missouri
ZIP Code: 64804-1884
Phone: (417) 208-0805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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