Ommel Bonilla

NPI #1033751995 in Springfield, Massachusetts

Provider Information

NPI Number: 1033751995
Entity Type: Individual
Name: Ommel Bonilla
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Oct 11, 2019
Last Updated: Oct 11, 2019

Practice Location

Address: 110 MAPLE ST
City: Springfield
State: Massachusetts
ZIP Code: 01105-1864
Phone: (413) 732-7419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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