Individual
CAROL HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 ROAD 1.4 NE, MOSES LAKE, WA 98837-9127
(509) 766-7966
Mailing address
PO BOX 2391, MOSES LAKE, WA 98837-0749
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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