Individual
KYLA BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 INTREPID AVE, PHILADELPHIA, PA 19112-1229
(000) 000-0000
Mailing address
2801 S GRAND BLVD APT 4, SPOKANE, WA 99203-2562
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN61274038
WA
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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