Individual
SHAWNA K BOUFFARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
19828 88TH AVE NE, BOTHELL, WA 98011-2122
(425) 246-9443
Mailing address
19828 88TH AVE NE, BOTHELL, WA 98011-2122
(425) 246-9443
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60337665
WA
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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