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Nicole Boughton
NPI 1902362817 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2180 Johnson Ave
San Luis Obispo, CA 93401 - Phone
- (805) 781-4275
- Fax
- (805) 781-4297
- Organisation at this address
- Good Samaritan Shelter
County Of San Luis Obispo
County Of San Luis Obispo
San Luis Obispo Campus Health
Crestwood Behavioral Health, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 181
Registry record
- Primary taxonomy
- Community Health Worker
172V00000X
- Sex
- Female
- Record last updated
- 2019-02-15
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