Individual
CHRISTINE BOLTHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1858 LUCERNE AVE, STOCKTON, CA 95203-1440
(209) 482-7348
Mailing address
1858 LUCERNE AVE, STOCKTON, CA 95203-1440
(209) 482-7348
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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