Individual
ANGELA LEE BOSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
502 W 4TH AVE, TOPPENISH, WA 98948-1616
(509) 865-1520
Mailing address
502 W. 4TH AVENUE, TOPPENISH, WA 98948
(509) 865-1520
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60660199
WA
Other
Enumeration date
09/01/2016
Last updated
09/06/2016
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