MRS. Mary Lou Pine, PA-C
NPI #1649388588 in Sunnyside, Washington
Provider Information
- NPI Number
- 1649388588
- Entity Type
- Individual
- Name
- MRS. Mary Lou Pine, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 29, 2006
- Last Updated
- Sep 17, 2018
Practice Location
- Address
- 700 S 11TH ST
- City
- Sunnyside
- State
- Washington
- ZIP Code
- 98944-2243
- Phone
- (509) 839-6822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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