Individual
MELINDA CLARIS BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
48 TREGENT ST, PONTIAC, MI 48342-1370
(248) 795-4583
Mailing address
48 TREGENT ST, PONTIAC, MI 48342-1370
(248) 795-4583
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703125113
MI
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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