Bonilla Lopez, Judith Anallely

Bonilla Lopez, Judith Anallely is an sole proprietor health care provider with primary practice located at 17216 Slover Ave , Fontana CA 92337-7580. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bonilla Lopez, Judith Anallely can be contacted via phone (909) 854-3431.

Contact Information

Primary practice address
17216 Slover Ave Fontana CA 92337-7580
Fax: (909) 428-8437
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 63986 California

Profile Details

NPI number 1972047645
LBN Legal business name Bonilla Lopez, Judith Anallely
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2016
Last updated Dec 27th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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