Pine Family INC

NPI #1205393287 in Sunnyside, Washington

Provider Information

NPI Number: 1205393287
Entity Type: Organization
Organization Name: Pine Family INC
Primary Specialty: Physician Assistant
Enumeration Date: Feb 26, 2019
Last Updated: Feb 26, 2019

Practice Location

Address: 2240 E LINCOLN AVE
City: Sunnyside
State: Washington
ZIP Code: 98944-2487
Phone: (509) 836-2367

Authorized Official

Name: MARY LOU PINE, PAC
Title: OWNER/PROVIDER
Phone: (509) 836-2367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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