Individual
ASHANTI BOZEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
300 ALWOODLEY CT, ROSEVILLE, CA 95678-3417
(214) 258-3995
Mailing address
300 ALWOODLEY CT, ROSEVILLE, CA 95678-3417
(214) 258-3995
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95193389
CA
Other
Enumeration date
03/29/2019
Last updated
08/27/2024
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