Individual
MRS. LISA KUREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2819 NW KITSAP PL STE 2B, SILVERDALE, WA 98383-7686
(360) 689-4964
Mailing address
12162 CENTRAL VALLEY RD NE, POULSBO, WA 98370-8145
(360) 689-4964
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
823690809
WA
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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