Individual
LAURENCE BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 BLOMQUIST ST, REDWOOD CITY, CA 94063-2714
(415) 680-6869
Mailing address
3201 VERDANT WAY, SAN JOSE, CA 95117-3071
(415) 680-6869
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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