Individual
MARIA PACKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 385-2200
Mailing address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 385-2200
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60536315
WA
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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