Mia Boren

NPI #1235862350 in Kennett, Missouri

Provider Information

NPI Number: 1235862350
Entity Type: Individual
Name: Mia Boren
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Licensed Practical Nurse
Enumeration Date: Jul 6, 2022
Last Updated: Jul 6, 2022

Practice Location

Address: 1226 INDEPENDENCE AVE
City: Kennett
State: Missouri
ZIP Code: 63857-1316
Phone: (573) 559-2380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Licensed Practical Nurse	164W00000X	Primary

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