SHADY BOULES

RIVERSIDE, CA
NPI1497123517
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95037846)
Enumeration Date2015-09-04
Last Update Date2025-12-25
Business Address
SHADY BOULES NP
16282 SKYRIDGE DR
RIVERSIDE, CA 92503-0562
Phone number: 951-722-0802
Mailing Address
SHADY BOULES NP
16282 SKYRIDGE DR
RIVERSIDE, CA 92503-0562
Phone number: 951-722-0802
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