Individual
KAITLYN BOSCHENREITHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 N CHARLES ST, BELLEVILLE, IL 62221-4024
(618) 233-4963
Mailing address
1710 N CHARLES ST, BELLEVILLE, IL 62221-4024
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
IL
Other
Enumeration date
10/18/2014
Last updated
10/18/2014
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