Provider Demographics
NPI:1407033673
Name:BOJORQUEZ, RITA NAVA (LMP, BFA, BS)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:NAVA
Last Name:BOJORQUEZ
Suffix:
Gender:F
Credentials:LMP, BFA, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 TAYLOR AVE N APT 305
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-6106
Mailing Address - Country:US
Mailing Address - Phone:206-709-8705
Mailing Address - Fax:
Practice Address - Street 1:12951 BEL RED RD # 305
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2644
Practice Address - Country:US
Practice Address - Phone:206-709-8705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00009521174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist