Individual provider · Type 1 NPI

Monaliza Boado

Licensed Vocational Nurse · Lathrop, CA

NPI number 1205701828 Active

Practice location

16755 Colonial Trl
Lathrop, CA 95330-8678

Call (408) 644-7638 Map

Other practice locations

1051 Tennis Ln, Tracy, CA 95376-4417 · (209) 923-3340

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	703743 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1205701828

Monaliza Boado's National Provider Identifier is 1205701828, issued on Oct 6, 2025. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Lathrop, CA. The record was last updated on Oct 6, 2025.