| NPI | 1487186888 |
|---|---|
| Doing Business As | PORT OF ANGELS PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | KALLI MAE JONES President/Nurse Practitioner 360-460-9493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60691562) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |