Individual
MARCIA BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 DICKINSON ST, UNIT. L, MOUNT CLEMENS, MI 48043-5939
(313) 713-3596
Mailing address
27 DICKINSON ST, UNIT. L, MOUNT CLEMENS, MI 48043-5939
(313) 713-3596
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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