Individual
SEETA DYER BOCAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15434 W SAGE ST, VICTORVILLE, CA 92392-9751
(760) 843-0506
Mailing address
15434 W SAGE ST, VICTORVILLE, CA 92392-9751
(760) 843-0506
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95025299
CA
Other
Enumeration date
02/20/2023
Last updated
09/13/2023
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