Individual
ANDREA N BOUIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1631 COPLEY DR, TOLEDO, OH 43615-3806
(419) 705-4411
Mailing address
1631 COPLEY DR, TOLEDO, OH 43615-3806
(419) 705-4411
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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