Individual
AIMEE BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1777 W YOSEMITE AVE, MANTECA, CA 95337-5130
(209) 825-3700
Mailing address
2725 MORRILL RD, RIVERBANK, CA 95367-2823
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
993307
CA
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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