NPI | 1104610658 |
---|---|
Doing Business As | CLOVERHOPE MENTAL HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | AGNES ANDAL MARAMBA Np Owner 253-600-4965 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2025-04-08 |
Last Update Date | 2025-07-29 |