Provider Demographics
NPI:1437751773
Name:BOIKO, HAYLI JOANNE
Entity Type:Individual
Prefix:
First Name:HAYLI
Middle Name:JOANNE
Last Name:BOIKO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43600 SAN PASCUAL AVE
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-9311
Mailing Address - Country:US
Mailing Address - Phone:760-808-2271
Mailing Address - Fax:
Practice Address - Street 1:71175 AURORA RD
Practice Address - Street 2:
Practice Address - City:DESERT HOT SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92241-7631
Practice Address - Country:US
Practice Address - Phone:760-251-8858
Practice Address - Fax:760-329-8889
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program