Theresa Ann Boomer MS

NPI 1205111499 - Genetic Counselor, MS - 170300000X

NPI Details
NPI 1205111499
Gender Female
Enumeration Date 10/19/2011
Last Updated 10/19/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
4 PINE RIDGE CIR
CLANCY MT, 59634-9760, US
Phone (406) 422-0411
Fax
Business Location
4 PINE RIDGE CIR
CLANCY MT, 59634-9760, US
Phone (406) 422-0411
Fax
Toxanomy
Taxonomy Code 170300000X
License State Tennessee
License Number GC0000000027
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According to our database, Ms. Theresa Ann Boomer MS NPI is 1205111499, taxonomy code is 170300000X and license number is GC0000000027, license state is located at Tennessee. Theresa Ann Boomer MS physically located at 4 Pine Ridge Cir, Clancy MT, 59634-9760. NPI Number Theresa Ann Boomer MS has the Individual type.

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1205111499 NPI number is provided on an as is basis without warranty of any kind. 1205111499 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Ann Boomer MS are for informational purposes only.