Individual
MARIANKA ALEXANDRA BOERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
975 SERENO DR, 2ND FLOOR, VALLEJO, CA 94589-2441
(707) 651-3884
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 965-7733
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4374
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
NA4374
CA
Other
Enumeration date
03/14/2013
Last updated
01/03/2022
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