Individual
DR. REBECCA A BOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1615 240TH PL SW, BOTHELL, WA 98021-9456
(206) 501-1594
Mailing address
1615 240TH PL SW, BOTHELL, WA 98021-9456
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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