Individual
ANDREA B BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1700 S COURT ST STE B, VISALIA, CA 93277-4931
(559) 741-1202
(559) 741-0123
Mailing address
1700 S COURT ST, STE B, VISALIA, CA 93277-4931
(559) 741-1202
(559) 741-0123
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G79417
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0067850
—
CA
Enumeration date
05/05/2006
Last updated
05/08/2018
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