Individual
MRS. CINDA JO BOLETTE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
5439 6TH AVE NW, TULALIP, WA 98271-6530
(360) 659-7003
Mailing address
5439 6TH AVE NW, TULALIP, WA 98271-6530
(360) 659-7003
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00058647
WA
Other
Enumeration date
06/17/2006
Last updated
07/08/2007
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