Individual
AMITHYST BOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1180 W SHERMAN ST, LEBANON, OR 97355-1446
(541) 905-0527
Mailing address
1180 W SHERMAN ST, LEBANON, OR 97355-1446
(541) 905-0527
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/04/2016
Last updated
06/04/2016
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