Individual
BERNADETTE BASCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9622 NE 195TH CIR APT H1, BOTHELL, WA 98011-2978
(206) 755-6091
Mailing address
PO BOX 268, BOTHELL, WA 98041-0268
(206) 755-6091
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
1912-68670
WA
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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