Organization
JENNIFER R. BOOZER, D.O., INC.
Active
Other names
Granite Creek Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER ROSE BOOZER D.O. (PRESIDENT)
(909) 450-1571
Entity
Organization
Contact information
Practice address
1601 MONTE VISTA AVE, SUITE 260, CLAREMONT, CA 91711-2962
(909) 450-1571
(909) 579-0100
Mailing address
1601 MONTE VISTA AVE, SUITE 260, CLAREMONT, CA 91711-2962
(909) 450-1571
(909) 579-0100
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2OA8927
CA
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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