Individual
MR. DWIGHT BOOCHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2640 INDUSTRY WAY, LYNWOOD, CA 90262-4000
(310) 639-5983
(310) 639-5870
Mailing address
2640 INDUSTRY WAY, LYNWOOD, CA 90262-4000
(310) 639-5983
(310) 639-5870
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN 161753
CA
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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