Organization
AMBER COAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN J TAYLOR (OWNER CERTIFIED FITTER)
(509) 924-3605
Entity
Organization
Contact information
Practice address
11007 E FERRET DR, SPOKANE VALLEY, WA 99206-9451
(509) 924-3605
(509) 924-3605
Mailing address
PO BOX 14743, SPOKANE VALLEY, WA 99214-0743
(509) 924-3605
(509) 924-3605
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
602308688
WA
Other
Enumeration date
11/15/2006
Last updated
06/13/2008
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