Individual
EDYTA MARTA BORON-FRESEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 HALL ST UNIT A, TRAVERSE CITY, MI 49684-2288
(231) 620-9848
Mailing address
105 HALL ST UNIT A, TRAVERSE CITY, MI 49684-2288
(231) 620-9848
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704278153
MI
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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