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Hiram Antonio Bonilla
Student in an Organized Health Care Education/Training Program in Bethlehem, Pennsylvania
NPI 1316579675

Hiram Antonio Bonilla is a Student in an Organized Health Care Education/Training Program based in Bethlehem, PA. Hiram Antonio Bonilla practices in Bethlehem, PA. The NPI Number for Hiram Antonio Bonilla is 1316579675 and holds a License No. (Pennsylvania).

The current practice location address for Hiram Antonio Bonilla is 60 W Broad St, Bethlehem, PA and can be reached out via phone at 877-422-1378.

Location: 60 W Broad St, Bethlehem, PA, 18018-6244
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316579675
Provider Name
Hiram Antonio Bonilla
Credential
Provider Entity Type
Individual
Gender
Male
Address
60 W Broad St, Bethlehem, PA, 18018-6244
Phone Number
877-422-1378
Fax Number
Provider Enumeration Date
02/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
60 W Broad St
City
Bethlehem
State
Pennsylvania
Zip
18018-5737
Phone Number
877-422-1378
Fax Number
person
Provider Business Mailing Address Details
Address
60 W Broad St
City
Bethlehem
State
Pennsylvania
Zip
18018-5737
Phone Number
877-422-1378
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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