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Individual

ALEX BOLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
6195 LUSK BLVD STE 250, SAN DIEGO, CA 92121-3715
(858) 859-1188
Mailing address
6195 LUSK BLVD STE 250, SAN DIEGO, CA 92121-3715
(858) 859-1188

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
21844
TN
363LF0000X
Family Nurse Practitioner
Primary
95007920
CA

Other

Enumeration date
09/21/2016
Last updated
11/16/2022
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