Letia Bogan

NPI #1679244693 in Ridgecrest, California

Provider Information

NPI Number: 1679244693
Entity Type: Individual
Name: Letia Bogan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Sep 21, 2021
Last Updated: Sep 21, 2021

Practice Location

Address: 1400 N NORMA ST STE 133
City: Ridgecrest
State: California
ZIP Code: 93555-2577
Phone: (760) 499-7406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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