SANDRA BOAFOA ANIM

CHICAGO, IL
NPI1821422320
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.010751)
Additional Taxonomies364SF0001X Clinical Nurse Specialist, Family Health
(Licence: IL  041392010)
Enumeration Date2013-09-03
Last Update Date2024-09-27
Business Address
SANDRA BOAFOA ANIM NP
1715 E 95TH ST
CHICAGO, IL 60617-4708
Phone number: 773-768-4437
Mailing Address
SANDRA BOAFOA ANIM NP
PO BOX 746721
ATLANTA, GA 30374-6721
Phone number: 773-352-1515