# PREMIER DIABETES CARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235696568
- **Authorized official:** KAY LEE MOUA ARNP (PRESIDENT/OWNER)
- **Authorized official phone:** (425) 344-0929

## Contact information

- **Practice address:** 16404 SMOKEY POINT BLVD, SUITE 102, ARLINGTON, WA 98223
- **Practice address phone:** (425) 318-7144
- **Practice address fax:** (425) 748-7378
- **Mailing address:** 16404 SMOKEY POINT BLVD, SUITE 102, ARLINGTON, WA 98223
- **Mailing address phone:** (425) 318-7144
- **Mailing address fax:** (425) 748-7378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2019
- **Last updated:** 07/26/2022