person
Mr. Darryl Eugene Boston, BASW
Student in an Organized Health Care Education/Training Program in Los Angeles, California
NPI 1265620264

Darryl Eugene Boston is a Student in an Organized Health Care Education/Training Program based in Los Angeles, CA. Darryl Eugene Boston practices in Los Angeles, CA and has the professional credentials of BASW. The NPI Number for Darryl Eugene Boston is 1265620264 and holds a License No. (California).

The current practice location address for Darryl Eugene Boston is 1720 E 120Th St, Los Angeles, CA and can be reached out via phone at 310-603-7008.

Location: 1720 E 120Th St, Los Angeles, CA, 90006-2804
person
Provider Profile Details
NPI Number
1265620264
Provider Name
Darryl Eugene Boston
Credential
BASW
Provider Entity Type
Individual
Gender
Male
Address
1720 E 120Th St, Los Angeles, CA, 90006-2804
Phone Number
310-603-7008
Fax Number
Provider Enumeration Date
10/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1720 E 120Th St
City
State
Zip
90059-3052
Phone Number
310-603-7008
Fax Number
person
Provider Business Mailing Address Details
Address
1720 E 120Th St
City
State
Zip
90059-3052
Phone Number
310-603-7008
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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