Individual
NICOLE BOATENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3375 N CAMPBELL AVE, TUCSON, AZ 85719-2306
(520) 838-3540
Mailing address
1472 MOSAIC GLN, ESCONDIDO, CA 92029-2283
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95001288
CA
Other
Enumeration date
05/19/2017
Last updated
05/19/2017
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