Individual
ELIZABETH BOAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1506 CORBIN DR, MILFORD, OH 45150-2580
(513) 310-4924
Mailing address
1506 CORBIN DR, MILFORD, OH 45150-2580
(513) 310-4924
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
PN123244
OH
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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