Organization
IN HOME PROVIDERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARRAH MAY CATOLICO MIRAN (PRESIDENT)
(253) 228-4920
Entity
Organization
Contact information
Practice address
2723 173RD AVE E, LAKE TAPPS, WA 98391-5564
(253) 228-4920
(253) 238-8722
Mailing address
PO BOX 39811, LAKEWOOD, WA 98496-3811
(253) 228-4920
(253) 238-4920
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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