Individual
MISS ANDREA AYLENE BOARDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 N B ST, LOMPOC, CA 93436-6901
(805) 737-6693
Mailing address
117 N B ST, LOMPOC, CA 93436-6901
(805) 737-6693
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/02/2007
Last updated
07/09/2007
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