| Kristie Mattern Llc | |
|
7902 27th St W Ste 7a University Place WA 98466-3431 | |
| (253) 500-4059 | |
| Not Available |
| Full Name | Kristie Mattern Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 7902 27th St W Ste 7a, University Place, Washington |
| Authorized Official Name and Position | Kristie Mattern (OWNER/PROVIDER) |
| Authorized Official Contact | 2539736135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristie Mattern Llc 7902 27th St W Ste 7a University Place WA 98466-3431 Ph: (253) 500-4059 | Kristie Mattern Llc 7902 27th St W Ste 7a University Place WA 98466-3431 Ph: (253) 500-4059 |
| NPI Number | 1023736097 |
|---|---|
| Provider Enumeration Date | 08/16/2022 |
| Last Update Date | 08/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023736097 | NPI | - | NPPES |
| 1023392529 | Other | WA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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