Individual
AMY PATAWARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
18657 STATE HIGHWAY 305 NE STE 4, POULSBO, WA 98370-9184
(360) 779-7800
Mailing address
613 NORMANDY DR, BREMERTON, WA 98310-2927
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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