Individual
NICHOLAS BOBOLIA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 S BUENA VISTA ST, BURBANK, CA 91505-4809
(818) 847-4043
Mailing address
501 S BUENA VISTA ST, BURBANK, CA 91505-4809
(818) 847-4043
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
766271
CA
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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