| Surf, Sand And Sage, Pllc | |
|
1002 39th Ave Sw Ste 208 Puyallup WA 98373-3805 | |
| (253) 317-1737 | |
| (253) 697-3730 |
| Full Name | Surf, Sand And Sage, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1002 39th Ave Sw Ste 208, Puyallup, Washington |
| Authorized Official Name and Position | Amy E Pruitt (OWNER) |
| Authorized Official Contact | 5415568290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surf, Sand And Sage, Pllc 1002 39th Ave Sw Ste 208 Puyallup WA 98373-3805 Ph: (253) 317-1737 | Surf, Sand And Sage, Pllc 1002 39th Ave Sw Ste 208 Puyallup WA 98373-3805 Ph: (253) 317-1737 |
| NPI Number | 1134984917 |
|---|---|
| Provider Enumeration Date | 02/20/2024 |
| Last Update Date | 02/20/2024 |
| Certification Date | 02/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134984917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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