Individual
BONITA BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1852 SAVANNAH LN, YPSILANTI, MI 48198-3676
(313) 646-0202
Mailing address
1852 SAVANNAH LN, YPSILANTI, MI 48198-3676
(313) 646-0202
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704364530TMP20
MI
164W00000X
Licensed Practical Nurse
4703097979
MI
Other
Enumeration date
02/29/2016
Last updated
07/01/2020
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