Individual
BOGA STEPHANE ADOGLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, PHN
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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