Individual
MADDIE BOERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81 WILSON RD, LANSING, NY 14882-9017
(607) 222-8315
Mailing address
81 WILSON RD, LANSING, NY 14882-9017
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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