Individual
PETER KWAKU BOATENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1509 WILSON TER, GLENDALE, CA 91206-4007
(818) 409-8000
Mailing address
7903 ELM AVE APT 312, RANCHO CUCAMONGA, CA 91730-6854
(323) 854-1216
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
603068
CA
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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