SHARON MACK DERSTINE

PORT ANGELES, WA
NPI1104810480
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: WA  AP30005738)
Enumeration Date2005-09-01
Last Update Date2008-07-11
Business Address
-- SHARON MACK DERSTINE ARNP
1106 E 1ST ST
PORT ANGELES, WA 98362-4317
Phone number: 360-452-2954
Mailing Address
-- SHARON MACK DERSTINE ARNP
1106 E 1ST ST
PORT ANGELES, WA 98362-4317
Phone number: 360-452-2954