Jessica M Bolyard

NPI #1447673884 in Spokane, Washington

Provider Information

NPI Number: 1447673884
Entity Type: Individual
Name: Jessica M Bolyard
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 21, 2014
Last Updated: Mar 15, 2024

Practice Location

Address: 1209 W 1ST AVE
City: Spokane
State: Washington
ZIP Code: 99201-4101
Phone: (509) 995-3388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X
Behavior Technician	106S00000X	Primary

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