THEPTHARA NUI PHOLSENA

MONROE, WA
NPI1588932495
Former NameNUI PHOLSENA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: WA  AP60248306)
Enumeration Date2011-12-06
Last Update Date2011-12-06
Business Address
-- THEPTHARA NUI PHOLSENA
17707 W MAIN ST 1ST FL
MONROE, WA 98272-1967
Phone number: 360-282-3885
Mailing Address
-- THEPTHARA NUI PHOLSENA
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 206-764-3335
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