Individual
PATRICIA COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATP
Contact information
Practice address
1911 E DIVISION ST, MOUNT VERNON, WA 98274-6703
(360) 424-4356
(360) 848-0938
Mailing address
PO BOX 1406, MOUNT VERNON, WA 98273-1406
(360) 424-4356
(360) 424-0938
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
ATP526
WA
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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