Individual
MS. FAY JEAN BOSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, RLC
Contact information
Practice address
3600 NE 54TH ST, UNIT H, VANCOUVER, WA 98661-2063
(360) 910-3558
Mailing address
1714 NE 41ST CIR, VANCOUVER, WA 98663-3646
(360) 910-3558
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
602963471
UBI
WA
Enumeration date
11/24/2009
Last updated
11/24/2009
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