Individual
BARBARA YVONNE BRUNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
LP00042357
WA
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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