Kavida Boozer
Licensed Vocational Nurse in Hemet, CA. Individual provider (NPI-1).
NPI number1255969309
StatusActive
Last updated in NPPESApr 15, 2020
Details
- NPI
- 1255969309
- Entity type
- Individual (NPI-1)
- Name
- Kavida Boozer
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 1, 2020
- Certification date
- Apr 15, 2020
- Last updated
- Apr 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | VN238941 | CA | Yes |
Practice location
409 Sutro CtHemet, CA 92544-1760
Phone 951-287-2203
Mailing address
409 Sutro CtHemet, CA 92544-1760
Phone 951-287-2203
Other practice locations
9275 Fontana Ave
Fontana, CA 92335-4406
Fontana, CA 92335-4406
Phone 909-329-4644
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