Individual
KATRINA ELIZABETH BOSTANCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 226-2000
Mailing address
23373 98TH ST, SALEM, WI 53168-8924
(262) 945-6505
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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