Individual
BRENT BOADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1415 TRUXTUN AVE, BAKERSFIELD, CA 93301-5215
(661) 868-4500
Mailing address
1415 TRUXTUN AVE, BAKERSFIELD, CA 93301-5215
(661) 868-4500
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/09/2016
Last updated
10/12/2016
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