Individual
BRANDI LYNN BOVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
677 E MAIN ST, CENTREVILLE, MI 49032-8524
(269) 503-5020
Mailing address
20126 M 60, THREE RIVERS, MI 49093-9042
(269) 365-7244
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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