| NPI | 1063826329 |
|---|---|
| Doing Business As | FAMILYCARE OF KENT |
| Entity Type | Organization |
| Authorized Contact | MADELINE D WILEY A RN P/Owner 253-859-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60471340) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |