Organization
SHIRLEY'S INCORPORATED
Active
Other names
Impressions
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DENA COHEN LMP (DIRECTOR)
(206) 919-0662
Entity
Organization
Contact information
Practice address
27121 174TH PL SE, COVINGTON, WA 98042-4939
(253) 639-8750
Mailing address
14236 SE 202ND ST, KENT, WA 98042-3040
(206) 919-0662
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MA00019252
WA
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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