Individual
MIKI BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
67 FAIRLANE RD, LAGUNA NIGUEL, CA 92677-5321
(949) 303-8441
Mailing address
67 FAIRLANE RD, LAGUNA NIGUEL, CA 92677
(949) 303-8441
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95001541
CA
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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