ELLEN MAGDALENA BOLLER

OAKLAND, CA
NPI1871239616
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA60871)
Enumeration Date2022-05-05
Last Update Date2022-06-21
Business Address
Ms. ELLEN MAGDALENA BOLLER PA-C
3600 BROADWAY
OAKLAND, CA 94611-5730
Phone number: 201-233-6718
Mailing Address
Ms. ELLEN MAGDALENA BOLLER PA-C
77 GLEN AVE APT 105
OAKLAND, CA 94611-4955
Phone number: 201-233-6718