Organization
APPLE BROOKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAE PEUNEMANY (CEO)
(509) 279-3850
Entity
Organization
Contact information
Practice address
12704 E NORA AVE STE E, SPOKANE VALLEY, WA 99216-1140
(509) 242-3039
Mailing address
12704 E NORA AVE STE E, SPOKANE VALLEY, WA 99216-1140
(509) 242-3039
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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