| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MONIQUE BONILLA | 1497372239 | 2020-06-27 |
Monique Bonilla is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1497372239. Registration indicates Monique Bonilla is a provider of services with a specialization in Nursing Service Providers, Licensed Vocational Nurse (Licensed Vocational Nurse, ) (Licensed Vocational Nurse, Nursing Service Providers)
| Entity Type | Individual |
| Provider Name | Miss Monique Bonilla LVN |
| Practice Office Address | 2644 30TH ST STE 100 SANTA MONICA, CA US |
| Practice Office Telephone | 3103146200 |
| Mailing Address | 2644 30TH ST STE 100 SANTA MONICA, CA 904053051 US |
| Code | Practice | License No State |
|---|---|---|
| 164X00000X PRIMARY | Nursing Service Providers Licensed Vocational Nurse Licensed Vocational Nurse Licensed Vocational Nurse Nursing Service Providers | VN699382
CA |