EDDIE BOLES III
Community Health Worker
Active
Individual
NPI: 1922796515
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Health Worker | 172V00000X | Yes | - |
Frequently Asked Questions
NPI 1922796515 is the National Provider Identifier for EDDIE BOLES III, a Community Health Worker provider located in Wayne, MI. This NPI was enumerated on May 1, 2023.
EDDIE BOLES III practices at 35425 W MICHIGAN AVE, Wayne, MI 48184.
Quick Facts
- NPI
- 1922796515
- Type
- Individual
- Enumerated
- May 1, 2023
- Last Updated
- Jul 27, 2023
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