Infant Home Phototherapy
Registered Nurse, Home Health in Everett, WA. Organization (NPI-2).
NPI number1609905751
StatusActive
Last updated in NPPESApr 25, 2013
Details
- NPI
- 1609905751
- Entity type
- Organization (NPI-2)
- Legal business name
- Infant Home Phototherapy
- Organization subpart
- No
- Enumeration date
- Mar 5, 2007
- Last updated
- Apr 25, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WH0200X | Registered Nurse, Home Health | IS-342 | WA | Yes |
Practice location
4908 33rd Ave WEverett, WA 98203-1338
Phone 425-355-0957
Mailing address
Po Box 1328Mukilteo, WA 98275-1328
Phone 425-355-0957
Authorized official
Donna Lee Gentry-Hayward
President
4253550957
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