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Individual

IOSIA BOONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6835 KATELLA AVE, CYPRESS, CA 90630-5107
(714) 484-7557
Mailing address
6835 KATELLA AVE, CYPRESS, CA 90630-5107
(714) 484-7557

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
183700000X
Pharmacy Technician
Primary
TCH205719
CA

Other

Enumeration date
09/05/2023
Last updated
04/21/2026
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