DR. Brooke Kelly Bonilla, OD

NPI #1902448954 in Glendora, California

Provider Information

NPI Number: 1902448954
Entity Type: Individual
Name: DR. Brooke Kelly Bonilla, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 10, 2019
Last Updated: Oct 10, 2019

Practice Location

Address: 852 S GRAND AVE
City: Glendora
State: California
ZIP Code: 91740-4806
Phone: (626) 914-4815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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