Derrick J Boles

NPI #1548140858 in Holt, Michigan

Provider Information

NPI Number: 1548140858
Entity Type: Individual
Name: Derrick J Boles
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Sep 5, 2025
Last Updated: Sep 5, 2025

Practice Location

Address: 4049 SUNSHINE PEAK DR
City: Holt
State: Michigan
ZIP Code: 48842-7733
Phone: (208) 739-2404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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