COLE EDWARD MACKE

BREMERTON, WA
NPI1912508425
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA  OL61290726)
Enumeration Date2020-11-03
Last Update Date2023-03-22
Business Address
Mr. COLE EDWARD MACKE DO
4207 KITSAP WAY
BREMERTON, WA 98312-2447
Phone number: 360-415-1080
Mailing Address
Mr. COLE EDWARD MACKE DO
4207 KITSAP WAY
BREMERTON, WA 98312-2447
Phone number: 360-415-1080