Individual
MRS. ANITA LYNN BOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP, CHP
Contact information
Practice address
545 RAINIER BLVD N STE 6, ISSAQUAH, WA 98027-2806
(425) 765-2713
Mailing address
27404 SE 154TH PL, ISSAQUAH, WA 98027-7332
(425) 765-2713
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA15897
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0155289
LABOR & INDUSTRIES
WA
01
—
MA15897
MASSAGE LICENSE
WA
Enumeration date
05/07/2007
Last updated
07/08/2007
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