Chanel Boal

NPI #1073089744 in San Dimas, California

Provider Information

NPI Number: 1073089744
Entity Type: Individual
Name: Chanel Boal
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 19, 2018
Last Updated: Sep 9, 2020

Practice Location

Address: 762 CYPRESS ST
City: San Dimas
State: California
ZIP Code: 91773-3505
Phone: (909) 599-1227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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