Individual
DAVID BOYD LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
12800 GARDEN GROVE BLVD STE F, GARDEN GROVE, CA 92843-2008
(714) 620-8131
Mailing address
12800 GARDEN GROVE BLVD STE F, GARDEN GROVE, CA 92843-2008
(714) 620-8131
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
23594
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
23594
CA
Other
Enumeration date
11/01/2013
Last updated
06/05/2014
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