Individual
BARBARA YVONNE BRUNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3322 BROADWAY, EVERETT, WA 98201-4425
(425) 349-7289
(425) 348-7288
Mailing address
1001 W CASINO RD APT F102, EVERETT, WA 98204-6911
(425) 348-7289
(425) 349-7288
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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