Individual
MIRIAM MASON HALVORSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA 60261270
Contact information
Practice address
8181 OLD MILITARY RD NE, BREMERTON, WA 98311-9244
(360) 271-5344
Mailing address
PO BOX 3094, SILVERDALE, WA 98383-3094
(360) 271-5344
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA 60261270
WA
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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