Search › California › 103TC0700X
Kerri Boutelle, PHD
NPI 1780620906 · on the registry since 2006
Practice
- Address
- 9500 Gilman Drive Mc 0985
University Of California San Diego
La Jolla, CA 92093 - Phone
- (858) 534-8037
- Fax
- (858) 534-6727
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TC2200X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California