Individual
GLORIA BOSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
301 CLUB VILLA CT STE 3, KATHLEEN, GA 31047-5434
(478) 218-9031
(478) 218-0203
Mailing address
100 MEADOW GLEN CT, WARNER ROBINS, GA 31093-2911
(478) 444-8589
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN063053
GA
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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