PRIM PREY KY

LACEY, WA
NPI1487157020
Former NamePRIM PREY LY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA60763223)
Enumeration Date2018-03-09
Last Update Date2024-08-26
Business Address
PRIM PREY KY PA-C
1350 MARVIN RD NE STE D
LACEY, WA 98516-3877
Phone number: 888-227-3312
Mailing Address
PRIM PREY KY PA-C
PO BOX 2928
PORTLAND, OR 97208-2928
Phone number: 425-207-5155
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