Individual
ANTOINETTE BOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1138 N GERMANTOWN PKWY # 101-379, CORDOVA, TN 38016-5872
(662) 404-4052
(901) 584-0282
Mailing address
PO BOX 1871, CORDOVA, TN 38088-1871
(662) 404-4052
(901) 584-0282
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
PTC-1581
TN
343900000X
Non-emergency Medical Transport (VAN)
—
TN
Other
Enumeration date
02/07/2013
Last updated
05/31/2024
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