Individual
MR. JOSHUA DETTMAR EPWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1354 ALOHA STREET, SEATTLE, WA 98109
(855) 557-0555
Mailing address
1354 ALOHA STREET, SEATTLE, WA 98109
(855) 557-0555
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A1014024
WA
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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