Prohealth Providers Llc | |
10908 56th Avenue Ct E Apt P302 Puyallup WA 98373-5763 | |
(125) 353-3355 | |
Not Available |
Full Name | Prohealth Providers Llc |
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Speciality | Clinic/center |
Location | 10908 56th Avenue Ct E Apt P302, Puyallup, Washington |
Authorized Official Name and Position | Jane Bell (GOVERNOR) |
Authorized Official Contact | 2535333553 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prohealth Providers Llc 10908 56th Avenue Ct E Apt P302 Puyallup WA 98373-5763 Ph: (125) 353-3355 | Prohealth Providers Llc 10908 56th Avenue Ct E Apt P302 Puyallup WA 98373-5763 Ph: (125) 353-3355 |
NPI Number | 1922751346 |
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Provider Enumeration Date | 01/27/2022 |
Last Update Date | 01/27/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922751346 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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