Luminosity Medical Allaince, Pllc
NPI #1134893191 in Port Orchard, Washington
Provider Information
- NPI Number
- 1134893191
- Entity Type
- Organization
- Organization Name
- Luminosity Medical Allaince, Pllc
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Aug 3, 2021
- Last Updated
- Aug 4, 2021
Practice Location
- Address
- 426 SW HAYWORTH DR UNIT C203
- City
- Port Orchard
- State
- Washington
- ZIP Code
- 98367-5015
- Phone
- (360) 362-0146
Authorized Official
- Name
- MRS. AMANDA SUE MACKLIN, ARNP
- Title
- FOUNDER
- Phone
- (360) 362-0146
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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