Individual
NATASHA ALEXANDRIA BOULANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP, LE
Contact information
Practice address
7529 BEVERLY BLVD, BOX 3, EVERETT, WA 98203-6770
(425) 923-4934
Mailing address
7529 BEVERLY BLVD, BOX 3, EVERETT, WA 98203-6770
(425) 923-4934
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
20642
WA
Other
Enumeration date
06/08/2008
Last updated
06/08/2008
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