Renee J Boult
NPI #1487840609 in Richmond, California
Provider Information
- NPI Number
- 1487840609
- Entity Type
- Individual
- Name
- Renee J Boult
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Sep 20, 2007
- Last Updated
- Sep 20, 2007
Practice Location
- Address
- 2500 BISSELL AVE
- Address 2
- 2500 BISSELL AVE
- City
- Richmond
- State
- California
- ZIP Code
- 94804-1815
- Phone
- (510) 231-3961
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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