Individual
STEPHANIE BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14182 BANGOR DR, STERLING HEIGHTS, MI 48313-5404
(586) 873-0702
Mailing address
14182 BANGOR DR, STERLING HEIGHTS, MI 48313-5404
(586) 873-0702
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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