Individual
RENE BOULLION III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 N CENTER ST, LOWELL, MI 49331-1212
(616) 897-8473
Mailing address
350 N CENTER ST, LOWELL, MI 49331-1212
(616) 897-8473
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005111
MI
Other
Enumeration date
02/19/2018
Last updated
06/05/2024
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