Individual
CALLEN ELIZABETH BOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BIRCH PL, HURRICANE, WV 25526-8918
(304) 356-0606
Mailing address
200 BIRCH PL, HURRICANE, WV 25526-8918
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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