Individual
MRS. ANGELINE MARIE BOUGHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
2316 S CEDAR ST, LANSING, MI 48910-3152
(517) 702-3508
Mailing address
5632 WISE RD, LANSING, MI 48911-3411
(517) 243-5899
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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