| NPI |
Provider Name |
Address |
Type |
| 1154830362 | DAVID RICHARD BALDWIN, CP00006153 | 230 EAST STATE STREET
MOSSYROCK, WA
ZIP 98564
Phone: (360) 983-3257
| Individual |
| 1538941273 | AMANDA LOUISE BLACK, SUDPT | 230 E STATE ST
MOSSYROCK, WA
ZIP 98564
Phone: (360) 266-5585
| Individual |
| 1679090294 | MR. JACK OTTO LEHMANN | 230 E STATE ST
MOSSYROCK, WA
ZIP 98564
Phone: (360) 983-3227
| Individual |