Individual
RACHELLE BOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4156 E 421 N, RIGBY, ID 83442-5516
(208) 251-1042
(208) 745-8739
Mailing address
4156 E 421 N, RIGBY, ID 83442-5516
(208) 251-1042
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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