Search › California › 183500000X
Mena Boules
NPI 1790389435 · on the registry since 2020 · sole proprietor
Practice
- Address
- 18923 Kilpatrick Ln
Marina, CA 93933 - Phone
- (831) 747-5577
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-23
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