Tina Bonilla
Tina Bonilla is an Optician in Hermiston, Oregon. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1350 N 1st StHermiston, OR 97838-1102
Phone: (541) 567-5283
Fax: (541) 567-5407
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X |
|---|
Record details
| NPI number | 1659063105 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 23, 2023 |
| Last updated in NPPES | June 2, 2023 |
| Certification date | June 2, 2023 |
| Mailing address | 1350 N 1st St, Hermiston, OR 97838-1102 |
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