MR. Kordale Tre Bavor, NP
NPI #1659984631 in Bonney Lake, Washington
Provider Information
- NPI Number
- 1659984631
- Entity Type
- Individual
- Name
- MR. Kordale Tre Bavor, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Credential
- NP
- Enumeration Date
- Aug 28, 2020
- Last Updated
- Aug 22, 2023
Practice Location
- Address
- 10004 204TH AVE E STE 1300
- City
- Bonney Lake
- State
- Washington
- ZIP Code
- 98391-6537
- Phone
- (253) 848-8797
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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