Demetria Bolton
Technician, Other in San Francisco, CA. Individual provider (NPI-1).
NPI number1982171476
StatusActive
Last updated in NPPESAug 21, 2019
Details
- NPI
- 1982171476
- Entity type
- Individual (NPI-1)
- Name
- Demetria Bolton
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2018
- Last updated
- Aug 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
795 Folsom St Fl 1San Francisco, CA 94107-4226
Phone 885-832-6727
Mailing address
7108 S Kanner HwyStuart, FL 34997-7462
Phone 855-832-6727
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