Individual
RYAN T BOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5659
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5659
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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