Individual
DR. NICOLE BOSHNAKOV RUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD/MBA
Contact information
Practice address
MOBILE DIVE AND SALVAGE UNIT ONE MEDICAL DEPARTMENT, BLDG 17 BISHOP POINT, PEARL HARBOR, HI 96860
(716) 955-0476
Mailing address
4494 NORTH PALMER ROAD, BETHESDA, MD 20889-0001
(301) 295-9283
(301) 295-5928
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101274671
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2020
Last updated
08/28/2024
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