Individual
ELLA YEPRAKSIA BOSTANJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
617 5TH AVE S, EDMONDS, WA 98020-3452
(425) 697-2100
(425) 697-5556
Mailing address
617 5TH AVE S, EDMONDS, WA 98020-3452
(425) 697-2100
(425) 697-5556
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD60039274
WA
Other
Enumeration date
03/25/2009
Last updated
09/09/2011
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