person
Dennis Bonavilla
Electroneurodiagnostic Specialist/Technologist in Wildomar, California
NPI 1023535820

Dennis Bonavilla is a Electroneurodiagnostic Specialist/Technologist based in Wildomar, CA and is specialized in Electroneurodiagnostic. Dennis Bonavilla practices in Wildomar, CA. The NPI Number for Dennis Bonavilla is 1023535820 and holds a License No. (California).

The current practice location address for Dennis Bonavilla is 34859 Frederick Street, Wildomar, CA and can be reached out via phone at 951-897-0770.

Location: 34859 Frederick Street, Wildomar, CA, 92595-7007
person
Provider Profile Details
NPI Number
1023535820
Provider Name
Dennis Bonavilla
Credential
Provider Entity Type
Individual
Gender
Male
Address
34859 Frederick Street, Wildomar, CA, 92595-7007
Phone Number
951-897-0770
Fax Number
Provider Enumeration Date
08/23/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
34859 Frederick Street
City
State
Zip
92595
Phone Number
951-897-0770
Fax Number
person
Provider Business Mailing Address Details
Address
34859 Frederick Street
City
State
Zip
92595
Phone Number
951-897-0770
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Electroneurodiagnostic
Taxonomy
License No.
()
Definition
Definition to come...
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