Michael Boose
NPI #1104550706 in Belleville, Illinois
Provider Information
- NPI Number
- 1104550706
- Entity Type
- Individual
- Name
- Michael Boose
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Homemaker
- Enumeration Date
- Jul 11, 2022
- Last Updated
- Jul 11, 2022
Practice Location
- Address
- 25 KINGERY CT APT 38
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-6280
- Phone
- (618) 381-2886
Specialties & Taxonomy Codes
| Specialty |
|---|
| Homemaker |
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