Individual
BOMA SOBRASUA PRINCEWILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1005 DR DB TODD JR BLVD, NASHVILLE, TN 37208-3501
(615) 327-6611
Mailing address
110 HIGHLAND CHURCH RD, PADUCAH, KY 42001-6112
(203) 278-1084
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55036
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2018
Last updated
03/09/2026
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