Individual
JESSICA LYNN BOSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2452 DESERT GLEN DR, LAS VEGAS, NV 89134-8871
(716) 400-9574
Mailing address
2452 DESERT GLEN DR, LAS VEGAS, NV 89134-8871
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
About Stedi
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