Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THALIA LEBOGANG BRUCE
Active Sole ProprietorTHALIA LEBOGANG BRUCE is a Foster Care Agency healthcare provider located in NORTH HOLLYWOOD, California. NPI 1457982522 is currently active in the NPPES registry. Verify at CMS.
Foster Care Agency · NORTH HOLLYWOOD, CA
Registration Details
- NPI Number
- 1457982522
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 28, 2020 (6.5681294129281 yrs)
- Last Updated
- Jan 28, 2020
- License
-
95192120 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5519 BONNER AVE APT 2NORTH HOLLYWOOD, CA, 916015723Browse CA providers · Browse ZIP 91601
- Phone
- 6619938542
- Primary Specialty
-
Foster Care Agency
253J00000X
- Additional Specialty
- Foster Care Agency
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.