DARRYL EUGENE BOSTON

LOS ANGELES, CA
NPI1265620264
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2007-10-04
Last Update Date2007-10-04
Business Address
Mr. DARRYL EUGENE BOSTON BASW
1720 E 120TH ST
LOS ANGELES, CA 90059-3052
Phone number: 310-603-7008
Mailing Address
Mr. DARRYL EUGENE BOSTON BASW
946 MENLO AVE
LOS ANGELES, CA 90006-2804
Phone number: 213-321-7466