South Sound Family & Sports
NPI #1558446211 in Olympia, Washington
Provider Information
- NPI Number
- 1558446211
- Entity Type
- Organization
- Organization Name
- South Sound Family & Sports
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Jul 10, 2012
Practice Location
- Address
- 2960-A LIMITED LANE NW
- City
- Olympia
- State
- Washington
- ZIP Code
- 98502-4541
- Phone
- (360) 709-9500
Authorized Official
- Name
- MRS. JENNY A BLAKE
- Title
- OPS MANAGER
- Phone
- (360) 709-9500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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