Individual
MRS. BONNIE LOU BOATWRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
450 N ARIZONA BLVD, COOLIDGE, AZ 85128-4108
(480) 677-4417
(480) 677-4406
Mailing address
33622 S MOUNTAIN VISTA BLVD, SAN TAN VALLLEY, AZ 85142
(480) 677-4417
(480) 677-4406
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN095208
AZ
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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