Hearthstone Dermatology Nonprofit Professional Services
NPI #1477169753 in Mccleary, Washington
Provider Information
- NPI Number
- 1477169753
- Entity Type
- Organization
- Organization Name
- Hearthstone Dermatology Nonprofit Professional Services
- Primary Specialty
- Voluntary or Charitable
- Enumeration Date
- Sep 22, 2020
- Last Updated
- Sep 22, 2020
Practice Location
- Address
- 828 MOX CHEHALIS RD
- City
- Mccleary
- State
- Washington
- ZIP Code
- 98557-9408
- Phone
- (360) 470-0671
Authorized Official
- Name
- GENEVA TZENOV, FNP-C
- Title
- CEO-ADMINISTRATOR
- Phone
- (360) 470-0671
Specialties & Taxonomy Codes
| Specialty |
|---|
| Voluntary or Charitable |
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