Individual
MS. BOLIVIA DESHAWN LAWTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
24875 PRIELIPP RD APT 1121, WILDOMAR, CA 92595-7789
(951) 239-5515
(951) 412-4148
Mailing address
24875 PRIELIPP RD APT 1121, WILDOMAR, CA 92595-7789
(951) 239-5515
(951) 412-4148
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
00349628
CA
Other
Enumeration date
09/24/2012
Last updated
09/12/2018
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