Mishea Tanise Boggess, QMRP

NPI #1932305570 in Freeport, Illinois

Provider Information

NPI Number
1932305570
Entity Type
Individual
Name
Mishea Tanise Boggess, QMRP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Credential
QMRP
Enumeration Date
Jun 21, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
701 W LAMM RD
ZIP Code
61032-9630
Phone
(815) 233-6162

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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