Alyssa Bonilla

NPI #1649150863 in Canutillo, Texas

Provider Information

NPI Number: 1649150863
Entity Type: Individual
Name: Alyssa Bonilla
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 8, 2025
Last Updated: Sep 8, 2025

Practice Location

Address: 612 GOLD BEACH DR
City: Canutillo
State: Texas
ZIP Code: 79835-8633
Phone: (915) 269-4411

Specialties & Taxonomy Codes

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

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