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Faith Home Care Practitioners, PLLC

Nurse Practitioner, Family in Chehalis, WA. Organization (NPI-2).

NPI number1275917254
StatusActive
Last updated in NPPESJul 20, 2015

Details

NPI
1275917254
Entity type
Organization (NPI-2)
Legal business name
Faith Home Care Practitioners, PLLC
Organization subpart
No
Enumeration date
Jul 20, 2015
Last updated
Jul 20, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAP60396765WAYes

Practice location

34 Ne Boistfort St
Ste. 124
Chehalis, WA 98532-2600

Phone 360-996-4443 · Fax 360-242-0049

Mailing address

34 Ne Boistfort St
Ste. 124
Chehalis, WA 98532-2600

Phone 360-996-4443 · Fax 360-242-0049

Authorized official

Julie Calderon
Owner
3609964443

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