Individual
CARA BOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO
Contact information
Practice address
7863 LA MESA BLVD, SUITE 100, LA MESA, CA 91942-0671
(619) 589-9980
(619) 589-9988
Mailing address
7863 LA MESA BLVD, SUITE 100, LA MESA, CA 91942-0671
(619) 589-9980
(619) 589-9988
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
95-3731127
CA
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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