NPI 1114177698

Don Boudreaux

Practitioner Licensed Vocational Nurse La Mesa, CA

Practice location

Address: 8420 Buckland St APT 2, La Mesa, CA 91942-2874
Phone: (760) 470-4089

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence VN174892 (CA)

Other Licensed Vocational Nurse providers in California →

Registry record

NPI: 1114177698
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Sep 2008
Record last updated: 22 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.