NPI | 1518407758 |
---|---|
Doing Business As | PACIFIC WELLNESS & LACTATION |
Entity Type | Organization |
Authorized Contact | BREANNE MARCUCCI Owner, Medical Director 425-903-1163 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60665822) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60400899) |
Enumeration Date | 2017-03-07 |
Last Update Date | 2017-03-07 |