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Individual

CHARLENE BOATRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
600 SAN RAMON VALLEY BLVD STE 102, DANVILLE, CA 94526-4021
(925) 838-4900
Mailing address
3813 VILLAGE RD, CONCORD, CA 94519-1112

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95017099
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95017099
NURSE PRACTITIONER LICENSE
CA
Enumeration date
04/08/2021
Last updated
04/08/2021
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