Individual
BOLEY STEWART III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26413 JEFFERSON AVE, H, MURRIETA, CA 92562-6979
(951) 677-7900
(951) 677-6877
Mailing address
26413 JEFFERSON AVE, H, MURRIETA, CA 92562-6979
(951) 677-7900
(951) 677-6877
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
00261
CA
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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