Organization
PORT OF ANGELS PEDIATRICS, PC
Active
Other names
Port of Angels Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KALLI MAE JONES C.P.N.P. (PRESIDENT/NURSE PRACTITIONER)
(360) 460-9493
Entity
Organization
Contact information
Practice address
2844 W EDGEWOOD DR, PORT ANGELES, WA 98363-9510
(615) 618-3812
Mailing address
2844 W EDGEWOOD DR, PORT ANGELES, WA 98363-9510
(615) 618-3812
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60691562
WA
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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