Individual
MISTY BOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1828 7TH ST, PARKERSBURG, WV 26101-4252
(304) 615-4988
Mailing address
1828 7TH ST, PARKERSBURG, WV 26101-4252
(304) 615-4988
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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