Miss Mary Community Development

NPI #1891333613 in Bremerton, Washington

Provider Information

NPI Number
1891333613
Entity Type
Organization
Organization Name
Miss Mary Community Development
Subpart
Yes (part of a larger organization)
Parent Organization
MISS MARY COMMUNITY DEVELOPMENT
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Dec 11, 2019
Last Updated
Dec 11, 2019

Practice Location

Address
1630 TRENTON AVENUE APT 10
ZIP Code
98310
Phone
(360) 908-8536

Authorized Official

Name
MS. MARIAN SANDERS
Title
REGISTERED AGENT
Phone
(360) 908-8536

Specialties & Taxonomy Codes

Specialty
Voluntary or Charitable
Nurse Anesthetist, Certified Registered

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