Individual
SHYTAN LENAYE BOSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 YAUGER WAY SW, OLYMPIA, WA 98502-8660
(360) 764-6380
Mailing address
3138 OVERHULSE RD NW APT 73, OLYMPIA, WA 98502-3854
(360) 890-5835
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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