Thepthara Nui Pholsena
NPI #1588932495 in Monroe, Washington
Provider Information
- NPI Number
- 1588932495
- Entity Type
- Individual
- Name
- Thepthara Nui Pholsena
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Adult Health
- Enumeration Date
- Dec 6, 2011
- Last Updated
- Dec 6, 2011
Practice Location
- Address
- 17707 W MAIN ST
- Address 2
- 1ST FL
- City
- Monroe
- State
- Washington
- ZIP Code
- 98272-1967
- Phone
- (360) 282-3885
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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