Individual
MR. DELLA JILL PETRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
0C 00000364
Contact information
Practice address
502 4TH ST NE, AUBURN, WA 98002-5020
(253) 931-4927
(253) 931-4742
Mailing address
502 4TH ST NE, AUBURN, WA 98002-5020
(253) 931-4927
(253) 931-4742
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0C 00000364
WA
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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