Eddie Boles III
Eddie Boles III is a Community Health Worker in Wayne, Michigan. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
35425 W Michigan AveWayne, MI 48184-9800
Phone: (734) 460-5242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1922796515 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 1, 2023 |
| Last updated in NPPES | July 27, 2023 |
| Certification date | July 27, 2023 |
| Mailing address | 35425 W Michigan Ave, Wayne, MI 48184-9800 |
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