Individual
TERENA BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3000
Mailing address
735 CASEMER RD, LAKE ORION, MI 48360-1316
(313) 646-5383
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
4704419580
MI
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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