Organization
MISS MARY COMMUNITY DEVELOPMENT
Active
Parent organization
MISS MARY COMMUNITY DEVELOPMENT
Other names
A Hunters' Adventure Foot Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISS MARY COMMUNITY DEVELOPMENT
Authorized official
MS. MARIAN SANDERS (REGISTERED AGENT)
(360) 908-8536
Entity
Organization
Contact information
Practice address
1630 TRENTON AVENUE APT 10, BREMERTON, WA 98310
(360) 908-8536
Mailing address
1630 TRENTON AVENUE APT 10, BREMERTON, WA 98310
(360) 908-8536
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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