MR. Della Jill Petrie, 0C 00000364

NPI #1558612275 in Auburn, Washington

Provider Information

NPI Number
1558612275
Entity Type
Individual
Name
MR. Della Jill Petrie, 0C 00000364
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
0C 00000364
Enumeration Date
Sep 20, 2012
Last Updated
Sep 20, 2012

Practice Location

Address
502 4TH ST NE
City
Auburn
ZIP Code
98002-5020
Phone
(253) 931-4927

Specialties & Taxonomy Codes

Specialty
Specialist

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