Individual
MICHELLE BOGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 PARISH PARK UNIT 32, EAST STROUDSBURG, PA 18301-3205
(570) 730-4755
Mailing address
110 PARISH PARK UNIT 32, EAST STROUDSBURG, PA 18301-3205
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
453545
NY
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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