Individual
MRS. KATY BOLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1044 11TH AVE, LONGVIEW, WA 98632-2506
(360) 575-8275
(360) 575-1950
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00170241
WA
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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