Organization
SUZETTE GURTISEN, LMP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZETTE JANA GURTISEN LMP (OWNER)
(509) 778-1271
Entity
Organization
Contact information
Practice address
4763 POPPY ST, WEST RICHLAND, WA 99353-7770
(509) 778-1271
Mailing address
4763 POPPY ST, WEST RICHLAND, WA 99353-7770
(509) 778-1271
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
MA60024946
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60024946
LMP
WA
Enumeration date
03/07/2014
Last updated
03/07/2014
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