Individual
REBECCA ANN BOOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
218 FAST ICE DR, MIDLAND, MI 48642-6167
(989) 631-2320
Mailing address
4907 HEDGEWOOD DR APT E5, MIDLAND, MI 48640-2046
(989) 259-5388
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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