Individual
NATASHA KIMBERLY BOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
832 S GREVILLEA AVE, INGLEWOOD, CA 90301-3312
(818) 517-3393
Mailing address
832 S GREVILLEA AVE, INGLEWOOD, CA 90301-3312
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
57088
CA
Other
Enumeration date
04/22/2019
Last updated
10/23/2019
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