SearchMichigan101YP2500X

Regina Bomar

NPI 1053509141 · on the registry since 2007 · sole proprietor

Practice

Address
23640 Oak Glen Dr
Southfield, MI 48033
Phone
(248) 479-1007

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-10-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan