| NPI Details | |
|---|---|
| NPI | 1659566321 |
| Gender | Female |
| Enumeration Date | 09/06/2007 |
| Last Updated | 09/06/2007 |
| Entity Type | Individual |
| Active | Over 9 years ago |
| Practice Location | |
|---|---|
| 32014 LITTLE BOSTON RD NE KINGSTON WA, 98346-9734, US |
|
| Phone | (360) 297-9601 |
| Fax | (360) 297-9614 |
| Business Location | |
|---|---|
| 32014 LITTLE BOSTON RD NE KINGSTON WA, 98346-9734, US |
|
| Phone | (360) 297-9601 |
| Fax | (360) 297-9614 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 374U00000X |
| License State | |
| License Number | |
| Remove 1659566321 NPI Number | |
According to our database, Mary A Trevathan CHR NPI is 1659566321, taxonomy code is 374U00000X Mary A Trevathan CHR physically located at 32014 Little Boston Rd Ne, Kingston WA, 98346-9734. NPI Number Mary A Trevathan CHR has the Individual type.
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1659566321 NPI number is provided on an as is basis without warranty of any kind. 1659566321 is maintained by the National Plan & Provider Enumeration System. The contents of Mary A Trevathan CHR are for informational purposes only.
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