STEPHANIE BOAZ
Individual Provider (NPI-1)
Active
Student in an Organized Health Care Education/Training Program
Provider Information
- NPI Number
1598686057- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1350 US HIGHWAY 62 W, PRINCETON, KY, 424456106
- Phone
- (270) 365-2008
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Primary
All Addresses
MAILING
3999 FORT CAMPBELL BLVD
HOPKINSVILLE, KY, 422404929