Individual
JAIME BOYACHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 985-3566
Mailing address
3111 ELECTRIC AVE, PORT HURON, MI 48060
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704317112
MI
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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