Organization
WILLIAM L. WHITEMAN
Active
Parent organization
NO
Other names
None
Organization subpart
Yes
Provider details
NPI number
Legal business name
NO
Authorized official
MR. WILLIAM LEE WHITEMAN (CAREGIVER)
(206) 775-0985
Entity
Organization
Contact information
Practice address
7811 144TH STREET CT E, C/O JENNIFER BRANTLEY, PUYALLUP, WA 98375-8404
(206) 775-0985
Mailing address
7811 144TH STREET CT. E., C/O JENNIFER BRANTLEY, PUYALLUP, WA 98375
(206) 775-0985
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
NAR.NA.00175848
WA
311Z00000X
Custodial Care Facility
NAR.NA.00175848
WA
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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