| NPI | 1942048368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRIE PETECH Owner/Prescriber 509-703-0736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |