Individual
JODIE BOSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 S MERIDIAN STE A&B, PUYALLUP, WA 98371-6995
(253) 235-5216
(253) 235-5216
Mailing address
2701 N 16TH ST STE 316, PHOENIX, AZ 85006-1266
(253) 235-5216
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG60632913
WA
Other
Enumeration date
12/16/2018
Last updated
04/09/2021
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