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NPI Code Detail

MEDICARE: EVELYN DEL BOSQUE

MEDICARE: EVELYN DEL BOSQUE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1356198683
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVELYN DEL BOSQUE
Provider Business Mailing Address
First Line : 1416 Q ST APT 8
Second Line :
City : SACRAMENTO
State : CA
Zip : 95811-6635
Country : US
Telephone Number : 818-748-7602
Fax Number :
Provider Business Practice Location Address
First Line : 360 NEVADA ST
Second Line :
City : AUBURN
State : CA
Zip : 95603-3779
Country : US
Telephone Number : 916-784-6413
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2024
Last Update Date : 05/03/2024

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Directions to “ EVELYN DEL BOSQUE ” Practice Location

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