Individual
MRS. JULIE SMITH-BOLDUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
600 CLOYDEN RD, PALOS VERDES ESTATES, CA 90274-1869
(310) 378-8471
Mailing address
400 S SEPULVEDA BLVD STE 200, MANHATTAN BEACH, CA 90266-6876
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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