Individual
CHRISTIE ROSE BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
916 KOALA AVE, OMAK, WA 98841-9576
(509) 826-1800
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003674
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0212379
L&I
WA
05
—
8321226
—
WA
01
—
8942293
CRIME VICTIMS
WA
Enumeration date
10/12/2005
Last updated
08/22/2013
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