MS. Theresa Ann Boomer, MS

NPI #1205111499 in Clancy, Montana

Provider Information

NPI Number
1205111499
Entity Type
Individual
Name
MS. Theresa Ann Boomer, MS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Genetic Counselor, MS
Credential
MS
Enumeration Date
Oct 19, 2011
Last Updated
Oct 19, 2011

Practice Location

Address
4 PINE RIDGE CIR
City
Clancy
State
Montana
ZIP Code
59634-9760
Phone
(406) 422-0411

Specialties & Taxonomy Codes

Specialty
Genetic Counselor, MS

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