Individual
MRS. ELIZABETH J BOLAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, NP-BC
Contact information
Practice address
1177 N PARK AVE, POMONA, CA 91768-3028
(909) 623-9900
(909) 623-1993
Mailing address
14015 CHARLEMAGNE AVE, BELLFLOWER, CA 90706-2331
(562) 925-8252
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
NP CERTIFICATE 15797
CA
367A00000X
Advanced Practice Midwife
Primary
NMW 1120
CA
Other
Enumeration date
12/21/2006
Last updated
10/18/2011
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