David Isaiah Boatwright III

NPI 1619156510 - Counselor - 101YA0400X

NPI Details
NPI 1619156510
Gender Male
Enumeration Date 10/26/2007
Last Updated 10/26/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1947 N CALIFORNIA ST STE C
STOCKTON CA, 95204-6029, US
Phone (209) 463-0870
Fax
Business Location
1947 N CALIFORNIA ST STE C
STOCKTON CA, 95204-6029, US
Phone (209) 463-0870
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, David Isaiah Boatwright III NPI is 1619156510, taxonomy code is 101YA0400X David Isaiah Boatwright III physically located at 1947 N California St Ste C, Stockton CA, 95204-6029. NPI Number David Isaiah Boatwright III has the Individual type.

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1619156510 NPI number is provided on an as is basis without warranty of any kind. 1619156510 is maintained by the National Plan & Provider Enumeration System. The contents of David Isaiah Boatwright III are for informational purposes only.