Individual
MISS MANDI ELIZABETH BOVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14741 FAIRWAY ST, LIVONIA, MI 48154-5104
(734) 363-3957
(734) 464-6205
Mailing address
14741 FAIRWAY ST, LIVONIA, MI 48154-5104
(734) 363-3957
(734) 464-6205
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
374T00000X
Religious Nonmedical Nursing Personnel
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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