Individual
CHANTIA BOBO HARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-5000
Mailing address
130 TOWN CENTER DR, 202, TROY, MI 48084-1744
(248) 585-8250
(248) 585-8270
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005241
MI
Other
Enumeration date
10/14/2008
Last updated
07/28/2022
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