Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
May 22, 2023
License(s)
022771 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 4219 S OTHELLO ST STE 105F | Seattle, WA 98118-3892 | 206-620-2400 |
| MAILING | PO BOX 247816 | Columbus, OH 43224 | 614-572-4147 |
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