Individual
MARK BROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
415 118TH AVE E UNIT B, EDGEWOOD, WA 98372-1288
(360) 286-6048
Mailing address
PO BOX 1713, MILTON, WA 98354-1713
(360) 286-6204
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
60305726
WA
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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