DANIEL BONILLA CRNA
Individual Provider (NPI-1)
Active
Nurse Anesthetist, Certified Registered
Provider Information
- NPI Number
1386408730- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CRNA
- Status
- Active
Contact & Location
- Address
- 1717 ARLINGTON AVE, CALDWELL, ID, 836054802
- Phone
- (208) 459-4641
Specialties & Taxonomies
Nurse Anesthetist, Certified Registered
Primary License: ID #78711
All Addresses
MAILING
1717 ARLINGTON AVE
CALDWELL, ID, 836054802