Bonilla, Mayra Elizabeth

Bonilla, Mayra Elizabeth is an individual health care provider with primary practice located at 3420 Kenyon St , San Diego CA 92110-5001. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Bonilla, Mayra Elizabeth can be contacted via phone (619) 221-6596.

Contact Information

Primary practice address
3420 Kenyon St San Diego CA 92110-5001
Phone: (619) 221-6596
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1376071381
LBN Legal business name Bonilla, Mayra Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2017
Last updated May 7th, 2024 - about last year

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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