Individual provider · NPI-1

Sierra Bostic, QMHS

Technician, Other · Toledo, OH

NPI number1679044945
StatusActive
Last updated in NPPESDec 16, 2018

Details

NPI
1679044945
Entity type
Individual (NPI-1)
Name
Sierra Bostic
Credential
QMHS
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 16, 2018
Last updated
Dec 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other––Yes

Practice location

3350 Collingwood Blvd
Toledo, OH 43610-1173

Phone 419-255-9585

Mailing address

3350 Collingwood Blvd
Toledo, OH 43610-1173

Phone 419-255-9585

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Other Technician, Other providers in Toledo, OH