Provider Demographics
NPI:1689012700
Name:BOZZO, JOY ANTOINETTE (ND)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:ANTOINETTE
Last Name:BOZZO
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2810 EXPOSITION BLVD
Mailing Address - Street 2:APARTMENT D
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-5044
Mailing Address - Country:US
Mailing Address - Phone:424-259-3797
Mailing Address - Fax:310-997-3475
Practice Address - Street 1:2810 EXPOSITION BLVD
Practice Address - Street 2:APARTMENT D
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-5044
Practice Address - Country:US
Practice Address - Phone:424-259-3797
Practice Address - Fax:310-997-3475
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-11
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-589175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath