Individual ProviderYamina BoundaouiRegistered NurseNursing Service ProvidersPractice Address490 Grape St, 490, San Diego, CA 92025(760) 975-9939PECOS EnrollmentBased on the most recent information from CMS, provider Yamina Boundaoui does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1487444162Provider TypeIndividualFull NameBoundaoui, YaminaCredentialRNGenderFemaleSole ProprietorNoEnumeration Date5/7/2025Last Updated5/7/2025Contact InformationPractice LocationPractice Address490 Grape St, 490, San Diego, CA 92025Phone(760) 975-9939FaxUnlisted FaxMailing LocationMailing Address490 Grape St, Escondido, CA 92025Phone(760) 975-9939FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense95387206California