Organization · Type 2 NPI
Ec Mobile Medical Clinic and Spa LLC
Family Nurse Practitioner · Black Diamond, WA
NPI number
1629833736
Active
Practice location
33043 SE Cottonwood St
Black Diamond, WA 98010-5070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1629833736
Ec Mobile Medical Clinic and Spa LLC's National Provider Identifier is 1629833736, issued on Feb 19, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Black Diamond, WA. The record was last updated on Feb 19, 2024.