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Organization
HEART & SOUL HOUSECALL PROVIDERS, LLC
Active
Organization
HEART & SOUL HOUSECALL PROVIDERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE G LUTTS NP (OWNER/PROVIDER)
(306) 518-9936
Entity
Organization
Contact information
Practice address
17809 NE 110TH AVE, BATTLE GROUND, WA 98604-6120
(306) 518-9936
Mailing address
17809 NE 110TH AVE, BATTLE GROUND, WA 98604-6120
(306) 518-9936
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60079873
WA
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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