Most Relevant Information
Provider Data
| NPI Number: | 1003234998 |
| Provider Name: | NEVINE BOKTOR |
| Entity Type: | Individual |
| Taxonomy Code: | 172A00000X |
| Specialty: | Driver |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/29/2014 |
| Last Updated: | 12/13/2016 |
Provider Practice Location
20475 YELLOW BRICK RD
3A
WALNUT
CA
917892929
Practice Location Phone/Fax
| Phone: | 9095949054 |
| Fax: | 9095943736 |
Provider Mailing Location
20475 YELLOW BRICK RD
3A
WALNUT
CA
917892929
Provider Mailing Phone/Fax
| Phone: | 9095949054 |
| Fax: | 9095943736 |