Individual
CAROL A BOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
219 E MAIN ST, 219 E MAIN ST, MOSSYROCK, WA 98564
(360) 983-8770
Mailing address
219 E MAIN ST, BOX 733, MOSSYROCK, WA 98564-0733
(360) 983-8770
(360) 983-8770
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00007773
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA00007773
LMP
WA
Enumeration date
10/05/2006
Last updated
07/08/2007
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