Individual
PAULINE FLOURNOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CARE GIVER
Contact information
Practice address
28121 14TH AVE E, ROY, WA 98580
(253) 843-2989
(253) 843-3087
Mailing address
28121 14TH AVE E, ROY, WA 98580
(253) 843-2989
(253) 843-3087
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
138000
WA
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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