Individual
MISS BRIDGETTE YVONNE BOYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5543 SHASTA LN APT 3, LA MESA, CA 91942-1795
(619) 713-0458
Mailing address
5543 SHASTA LN, LA MESA, CA 91942-7703
(619) 713-0458
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN186705
CA
Other
Enumeration date
02/14/2007
Last updated
07/12/2007
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