Individual
ASHLEY JENEA BOLEWARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1401 PARKMOOR AVE, STE 230, SAN JOSE, CA 95126-3403
(408) 971-9822
Mailing address
1401 PARKMOOR AVE, STE 115, SAN JOSE, CA 95126-3403
(408) 971-9822
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47138
UNICARE
CA
Enumeration date
01/22/2016
Last updated
01/22/2016
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