Kyle David Leroy Boogaard

NPI #1689285348 in Hoquiam, Washington

Provider Information

NPI Number: 1689285348
Entity Type: Individual
Name: Kyle David Leroy Boogaard
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Aug 14, 2020
Last Updated: Aug 14, 2020

Practice Location

Address: 3033 INGRAM ST
City: Hoquiam
State: Washington
ZIP Code: 98550-4410
Phone: (360) 964-0444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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