Individual
DR. JEAN SHINODA BOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
655 REDWOOD HIGHWAY, SUITE 336, MILL VALLEY, CA 94941-3008
(415) 381-8331
Mailing address
655 REDWOOD HIGHWAY, SUITE 336, MILL VALLEY, CA 94941-3008
(415) 381-8331
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A20928
CA
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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