Individual
BOGA STEPHANE ADOGLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, PHN
Contact information
Practice address
25 ALLEN STREET, MARTINEZ, CA 94553
(925) 370-5705
Mailing address
25 ALLEN ST, MARTINEZ, CA 94553-1337
(925) 370-5705
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
775390
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
775390
CA
Other
Enumeration date
01/30/2013
Last updated
10/01/2024
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