Individual
MRS. MARY LOU PINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
700 S 11TH ST, SUNNYSIDE, WA 98944-2243
(509) 839-6822
Mailing address
203 SW MALIBU DRIVE, PROSSER, WA 99350
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004660
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8541989
—
WA
Enumeration date
08/29/2006
Last updated
09/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us