1629342993

Everything you always wanted to know about TRINA HEALTH, LLC ROEDIGER DE BONILLA A FAITH but were afraid to ask.

TRINA HEALTH, LLC ROEDIGER DE BONILLA A FAITH

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Organization Name Authorized Official Last Name Authorized Official Middle Name Authorized Official First Name
TRINA HEALTH, LLC ROEDIGER DE BONILLA A FAITH
Gender:
none
Enumeration date:
2012-03-02
Last update date:
2017-12-12
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state
A33983 Other LICENCE CA

Taxonomies

Taxonomy State License Number Primary?
174400000X Specialist none none N
261QI0500X Infusion Therapy none none N
261QM1300X Multi-Specialty none none Y

Phone Numbers

Type Number
Mailing Address Telephone Number 9165501050
Practice Location Address Telephone Number 9165501050
Authorized Official Telephone Number 9162263736
Practice Location Address Fax Number 9165501238

Addresses

Type Address City State Postal Country
Mailing Address 5112 BAILEY LOOP J MCCLELLAN CA 95652 CA
Practice Location Address 4441 AUBURN BLVD SACRAMENTO CA 95841 CA

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