Organization
PROHEALTH PROVIDERS LLC
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
JANE BELL (GOVERNOR)
(253) 533-3553
Entity
Organization
Contact information
Practice address
10908 56TH AVENUE CT E APT P302, PUYALLUP, WA 98373-5763
(125) 353-3355
Mailing address
10908 56TH AVENUE CT E APT P302, PUYALLUP, WA 98373-5763
(125) 353-3355
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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