Fern Life Center LLC
NPI #1285871657 in Issaquah, Washington
Provider Information
- NPI Number
- 1285871657
- Entity Type
- Organization
- Organization Name
- Fern Life Center LLC
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Jan 7, 2009
- Last Updated
- Oct 22, 2009
Practice Location
- Address
- 710 5TH AVE NW
- City
- Issaquah
- State
- Washington
- ZIP Code
- 98027-2823
- Phone
- (425) 391-3376
Authorized Official
- Name
- KEESHA EWERS, ARNP
- Title
- CEO
- Phone
- (425) 391-3376
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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