Individual
ANASTACIA BOSTWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1570 NEVA RD, ANTIGO, WI 54409-2339
(715) 610-5549
Mailing address
1570 NEVA RD, ANTIGO, WI 54409-2339
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Enumeration date
03/30/2008
Last updated
03/30/2008
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