Roberto Bonilla Gallegos

NPI #1407414295 in Konawa, Oklahoma

Provider Information

NPI Number
1407414295
Entity Type
Individual
Name
Roberto Bonilla Gallegos
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Jun 5, 2019
Last Updated
Jun 5, 2019

Practice Location

Address
527 W 3RD ST
City
Konawa
ZIP Code
74849-1415
Phone
(580) 925-3286

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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