Individual
NATALIA V BOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2118 LITTLE JOHN RD, MELBOURNE, FL 32935-3736
(321) 350-1238
(321) 622-8031
Mailing address
PO BOX 360091, MELBOURNE, FL 32936-0091
(321) 350-1238
(321) 622-8031
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
06/04/2022
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