Tristen R Bogue
Case Manager/Care Coordinator in Sonora, CA. Individual provider (NPI-1).
NPI number1760972723
StatusActive
Last updated in NPPESMay 15, 2018
Details
- NPI
- 1760972723
- Entity type
- Individual (NPI-1)
- Name
- Tristen R Bogue
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 15, 2018
- Last updated
- May 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
105 Hospital RdSonora, CA 95370-5227
Phone 209-533-6245
Mailing address
2 S Green StSonora, CA 95370-4618
Phone 209-533-6245
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All 50 Case Manager/Care Coordinator providers in Sonora · All 893 providers in Sonora
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