Individual
JAMES V PROVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 MERIDIAN ST, BELLINGHAM, WA 98225-1732
(360) 676-6000
Mailing address
3600 MERIDIAN ST, BELLINGHAM, WA 98225-1732
(360) 676-6000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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