Individual
YAMAIRA BOULAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3555 AUBURN BLVD, SACRAMENTO, CA 95821-2005
(916) 482-2370
Mailing address
5351 LIBERTY ST, NORTH HIGHLANDS, CA 95660-5025
(916) 708-2515
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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