Organization
ROSALIA HEALTH CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN V SMALL ARNP (MANAGER)
(509) 523-4950
Entity
Organization
Contact information
Practice address
703 S WHITMAN AVE, ROSALIA, WA 99170
(509) 523-4950
(509) 523-4951
Mailing address
703 S WHITMAN AVE, ROSALIA, WA 99170
(509) 523-4950
(509) 523-4951
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP30004008
WA
Other
Enumeration date
03/09/2007
Last updated
03/07/2011
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