Individual
MIRYAH PETROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 S 259TH PL, KENT, WA 98032-9761
(206) 227-8906
Mailing address
3415 S 259TH PL, KENT, WA 98032-9761
(206) 227-8906
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00173873
WA
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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