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Individual

JESSICA M BOLYARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1209 W 1ST AVE, SPOKANE, WA 99201-4101
(509) 995-3388
Mailing address
10811 E AUGUSTA AVE, SPOKANE VALLEY, WA 99206
(509) 927-0645

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
225700000X
Massage Therapist
60432533
WA

Other

Enumeration date
01/21/2014
Last updated
03/15/2024
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