Individual
MRS. EMILY LISBETH BOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
600 GRESHAM DR STE 204, NORFOLK, VA 23507-1904
(757) 388-5680
(757) 388-5681
Mailing address
600 GRESHAM DR STE 204, NORFOLK, VA 23507-1904
(757) 388-5680
(757) 388-5681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002786
VA
Other
Enumeration date
03/09/2010
Last updated
12/29/2023
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