Individual
BOLAYA KIMFUEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
494 BLOSSOM WAY, CHERRYLAND, CA 94541-1948
(510) 582-7676
Mailing address
228 GARDEN PATCH WAY, PATTERSON, CA 95363-8326
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
244919
CA
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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