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Organization
SOUTH HILL AFH LLC II
Active
Organization
SOUTH HILL AFH LLC II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON N MAINA RN (MANAGER)
(732) 582-9512
Entity
Organization
Contact information
Practice address
12121 130TH AVENUE CT E, PUYALLUP, WA 98374-4443
(253) 888-1531
(253) 693-9963
Mailing address
12121 130TH AVENUE CT E, PUYALLUP, WA 98374-4443
(253) 888-1531
(253) 693-9963
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
12/06/2024
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