Individual
ALEXIA BOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
20 PAGE DR, PINEHURST, NC 28374-8847
(910) 235-9090
Mailing address
1 WATSON CT, PINEHURST, NC 28374-8835
(919) 592-9774
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
933426
NC
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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