Individual
SHARON DIANE BOUHAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24 N SAINT JOSEPH AVE STE G, NILES, MI 49120-2263
(269) 684-4270
Mailing address
506 CHURCH ST APT 3, SAINT JOSEPH, MI 49085-2290
(831) 747-0274
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704414711
MI
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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