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Contact Information

GILBERT AGYEMANG BOAKYE
11711 SAND CANYON RD
YUCAIPA, CA92399-1742
 Phone: 909-389-3272
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for GILBERT AGYEMANG BOAKYE · (Male)

NPI Number 1407385149
Status Active
Credentials
Entity Individual
Enumeration date 06/07/2017
Last updated 04/16/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 95004250
  • CA Other 95004250 BRN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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