Individual
CHRISTINE BOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6655 83RD AVE N, PINELLAS PARK, FL 33781-2068
(727) 954-0125
Mailing address
6655 83RD AVE N, PINELLAS PARK, FL 33781-2068
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA10036
FL
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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