Eddie Boles III

NPI #1922796515 in Wayne, Michigan

Provider Information

NPI Number: 1922796515
Entity Type: Individual
Name: Eddie Boles III
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: May 1, 2023
Last Updated: Jul 27, 2023

Practice Location

Address: 35425 W MICHIGAN AVE
City: Wayne
State: Michigan
ZIP Code: 48184-9800
Phone: (734) 460-5242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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