Individual
JAIE BOSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
255 S 17TH ST, SUITE 2304-A, PHILADELPHIA, PA 19103-6231
(215) 995-1247
(215) 315-3655
Mailing address
255 S 17TH ST, SUITE 2304-A, PHILADELPHIA, PA 19103-6231
(215) 995-1247
(215) 315-3655
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1765
OR
Other
Enumeration date
03/25/2011
Last updated
09/07/2011
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