Cole Puckett

NPI #1952117293 in North Bend, Washington

Provider Information

NPI Number: 1952117293
Entity Type: Individual
Name: Cole Puckett
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 10, 2024
Last Updated: Dec 10, 2024

Practice Location

Address: 301 W NORTH BEND WAY STE 109
City: North Bend
State: Washington
ZIP Code: 98045-8163
Phone: (425) 200-0130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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