Individual
JOSEPHINE FODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3330 MONTE VILLA PKWY, BOTHELL, WA 98021-8972
(425) 408-6606
Mailing address
22107 23RD DR SE, BOTHELL, WA 98021-4409
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN61369251
WA
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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