Individual
BAILEY MAE POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 S FORKS AVE, FORKS, WA 98331-9006
(360) 374-2294
Mailing address
PO BOX 2432, FORKS, WA 98331-2432
(360) 461-3305
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IR60936141
WA
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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