Most Relevant Information
Provider Data
| NPI Number: | 1003486598 |
| Provider Name: | SUSAN CHRISTA BOSMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WA0400X |
| Specialty: | Registered Nurse |
| License Number: | RN00124390 |
Most Important Dates
| Enumeration Date: | 06/28/2021 |
| Last Updated: | 06/28/2021 |
Provider Practice Location
500 SE WASHINGTON AVE.
OPTIONAL
CHEHALIS
WA
98532
Practice Location Phone/Fax
| Phone: | 3605078032 |
| Fax: |
Provider Mailing Location
500 SE WASHINGTON AVE.
OPTIONAL
CHEHALIS
WA
98532
Provider Mailing Phone/Fax
| Phone: | 3605078032 |
| Fax: |