Individual
SUE FELIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP, GCFP
Contact information
Practice address
1730 SE MULLENIX RD, PORT ORCHARD, WA 98367-9509
(360) 876-9749
(360) 876-9749
Mailing address
1730 SE MULLENIX RD, PORT ORCHARD, WA 98367-9509
(360) 876-9749
(360) 876-9749
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00006653
WA
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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