Individual
ELAINE R BOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3221 LOGAN VALLEY RD, TRAVERSE CITY, MI 49684-4772
(231) 941-4005
Mailing address
3221 LOGAN VALLEY RD, TRAVERSE CITY, MI 49684-4772
(231) 941-4005
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
L2432188
MI
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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