ELISA BOMA GARCIA

ELIZABETHTOWN, KY
NPI1700831781
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: KY  20007)
Additional Taxonomies174400000X Specialist
(Licence: KY  20007)
Enumeration Date2006-05-24
Last Update Date2008-06-30
Business Address
-- ELISA BOMA GARCIA
1237 WOODLAND DR
ELIZABETHTOWN, KY 42701-2709
Phone number: 270-769-6875
Mailing Address
-- ELISA BOMA GARCIA
1237 WOODLAND DR
ELIZABETHTOWN, KY 42701-2709
Phone number: 270-769-6875