Individual
MARTHA NANETTE BOOCHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
9089 BASE LINE RD STE 200, RANCHO CUCAMONGA, CA 91730-1295
(909) 980-3567
(909) 989-3932
Mailing address
11228 NASHVILLE AVE, WHITTIER, CA 90604-2150
(562) 900-4939
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95029865
CA
Other
Enumeration date
05/14/2024
Last updated
10/28/2024
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