BAILEY N. BOLTZ

PUYALLUP, WA
NPI1831790591
Former NameBAILEY N. MANTHA-NAGRANT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: WA  PA61101539)
Additional Taxonomies363A00000X Physician Assistant
(Licence: WA  PA61101539)
Enumeration Date2020-11-07
Last Update Date2022-08-18
Business Address
BAILEY N. BOLTZ PA-C
3801 5TH ST SE STE 110
PUYALLUP, WA 98374-2106
Phone number: 253-845-9585
Mailing Address
BAILEY N. BOLTZ PA-C
3801 5TH ST SE STE 110
PUYALLUP, WA 98374-2106
Phone number: 253-845-9585