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Micaela Boyd

Military Health Care Provider, Independent Duty Medical Technicians in Travis Afb, CA. Individual provider (NPI-1).

NPI number1750118436
StatusActive
Last updated in NPPESSep 17, 2024

Details

NPI
1750118436
Entity type
Individual (NPI-1)
Name
Micaela Boyd
Sex
Female
Sole proprietor
No
Enumeration date
Sep 17, 2024
Certification date
Sep 17, 2024
Last updated
Sep 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians–TXYes

Practice location

101 Bodin Cir
Travis Afb, CA 94535-1809

Phone 707-423-3040

Mailing address

101 Bodin Cir
Travis Afb, CA 94535-1809

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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