Individual
AMBERLEE BOVERHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2406 SOCORRO BND, LEANDER, TX 78641
(808) 425-3716
Mailing address
2406 SOCORRO BND, LEANDER, TX 78641-2160
(808) 425-3716
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
NR00289878
TX
2255A2300X
Athletic Trainer
—
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
09/12/2016
Last updated
08/27/2018
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