Organization
NORTHWEST DIABETIC SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE MARIE PETERSON (PRESIDENT)
(509) 239-4590
Entity
Organization
Contact information
Practice address
24102 S BOSTON RD, CHENEY, WA 99004-8958
(509) 239-4590
(509) 239-4591
Mailing address
24102 S BOSTON RD, CHENEY, WA 99004-8958
(509) 239-4590
(509) 239-4591
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/08/2007
Last updated
04/20/2008
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