Individual
TONYA LEEANN BOSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN RN PHN
Contact information
Practice address
4038 CONSTELLATION RD, LOMPOC, CA 93436-1413
(724) 713-7414
Mailing address
1301 N A ST, LOMPOC, CA 93436-3516
(805) 742-3301
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN613745
CA
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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