Individual
NEVINE BOKTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20475 YELLOW BRICK RD, 3A, WALNUT, CA 91789-2929
(909) 594-9054
(909) 594-3736
Mailing address
20475 YELLOW BRICK RD, 3A, WALNUT, CA 91789-2929
(909) 594-9054
(909) 594-3736
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
03/29/2014
Last updated
12/13/2016
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