Douglas Boulware

NPI 1669708145 - Counselor - 101YM0800X

NPI Details
NPI 1669708145
Gender Male
Enumeration Date 10/19/2009
Last Updated 10/19/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
659 E WALNUT ST
PASADENA CA, 91101-1635, US
Phone (626) 844-0410
Fax
Business Location
659 E WALNUT ST
PASADENA CA, 91101-1635, US
Phone (626) 844-0410
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Douglas Boulware NPI is 1669708145, taxonomy code is 101YM0800X Douglas Boulware physically located at 659 E Walnut St, Pasadena CA, 91101-1635. NPI Number Douglas Boulware has the Individual type.

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1669708145 NPI number is provided on an as is basis without warranty of any kind. 1669708145 is maintained by the National Plan & Provider Enumeration System. The contents of Douglas Boulware are for informational purposes only.