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Search › California › 390200000X

Jessica Boulter

NPI 1770276859 · on the registry since 2023

Practice

Address
416 Corson Ave
Modesto, CA 95350
Phone
(209) 284-0970
Organisation at this address
Valley Recovery Resources
Elan Senior Living Dba The Living Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
46

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
101YA0400X
101YM0800X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California