Organization
PETRINA GAVRILIS FNP-BC ARNP FAMILY HEALTH CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETRINA E GAVRILIS FNP (FAMILY NURSE PRACTITIONER)
(253) 282-7195
Entity
Organization
Contact information
Practice address
6141 KIEL CT SE, OLYMPIA, WA 98513-6539
(253) 282-7195
Mailing address
6141 KIEL CT SE, OLYMPIA, WA 98513-6539
(253) 282-7195
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
UBI 603-362-414
WA
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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