Individual
MARCUS BOARDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 SHAFFER RD STE 1, SANTA CRUZ, CA 95060-5761
(831) 466-9307
Mailing address
1201 SHAFFER RD STE 1, SANTA CRUZ, CA 95060-5761
(831) 466-9307
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-KMIACH
CA
Other
Enumeration date
01/08/2025
Last updated
07/21/2025
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