Fern Life Center
NPI #1245623024 in Issaquah, Washington
Provider Information
- NPI Number
- 1245623024
- Entity Type
- Organization
- Organization Name
- Fern Life Center
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Mar 18, 2015
- Last Updated
- Mar 18, 2015
Practice Location
- Address
- 410 NEWPORT WAY NW
- Address 2
- SUITE B
- City
- Issaquah
- State
- Washington
- ZIP Code
- 98027-3116
- Phone
- (425) 391-3376
Authorized Official
- Name
- MRS. ELIZABETH TILLMAN FITZGERALD, RD
- Title
- NUTRITIONIST
- Phone
- (425) 391-3376
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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