Mina Lee Brush
Technician, Attendant Care Provider in Lakewood, WA. Individual provider (NPI-1).
NPI number1164065355
StatusActive
Last updated in NPPESOct 21, 2019
Details
- NPI
- 1164065355
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mina Lee Brush
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 21, 2019
- Last updated
- Oct 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | WA | Yes |
Practice location
7917 53rd Ave WLakewood, WA 98499-3166
Phone 253-381-7619
Mailing address
7917 53rd Ave WLakewood, WA 98499-3166
Phone 253-381-7619
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