Individual
MRS. NICOLE MALENE BOSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 W MAIN, PUYALLUP, WA 98371-5328
(253) 841-8700
Mailing address
7107 141ST STREET CT E, PUYALLUP, WA 98373-8201
(253) 539-2086
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60338900
WA
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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