Individual
EMMA PATRICIA PREUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
115 BEAUVAIS RD, KELSO, WA 98626-9734
(503) 407-3550
Mailing address
115 BEAUVAIS RD, KELSO, WA 98626-9734
(503) 407-3550
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTA9349
FL
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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