Individual
BOSE AMOSUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 31ST AVE SW, PUYALLUP, WA 98373-3723
(253) 848-5951
Mailing address
2904 4TH AVE NE, PUYALLUP, WA 98372-7053
(253) 848-5951
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.PA.61492017
WA
Other
Enumeration date
10/09/2023
Last updated
12/30/2024
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