Organization
MYNURSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAB MARIE HYNES (OWNER)
(360) 670-2909
Entity
Organization
Contact information
Practice address
316 W 12TH ST, PORT ANGELES, WA 98362-7606
(360) 670-2909
Mailing address
316 W 12TH ST, PORT ANGELES, WA 98362-7606
(360) 670-2909
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
RN00107121
WA
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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