# SUZETTE GURTISEN, LMP

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

## Provider details

- **NPI number:** 1437575982
- **Authorized official:** SUZETTE JANA GURTISEN LMP (OWNER)
- **Authorized official phone:** (509) 778-1271

## Contact information

- **Practice address:** 4763 POPPY ST, WEST RICHLAND, WA 99353-7770
- **Practice address phone:** (509) 778-1271
- **Mailing address:** 4763 POPPY ST, WEST RICHLAND, WA 99353-7770
- **Mailing address phone:** (509) 778-1271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | MA60024946 | WA | Yes |

## Other

- **Enumeration date:** 03/07/2014
- **Last updated:** 03/07/2014