THE IDA KARLIN PEDIATRIC CENTER
Nursing at 5 St, Puyallup, WA

License number
Washington LH60394287
Category
Social Work
Type
Counselor
License number
Washington PY60385056
Category
Psychologist
Type
Psychologist
License number
Washington MD00015660
Category
Medical Practice
Type
Pediatrics
License number
Washington AP60312846
Category
Nursing
Type
Pediatrics
License number
Washington AP60311598
Category
Nursing
Type
Psychiatric/Mental Health
Owner
Name: OVIDIO PENALVER MD
Title: CORPORATE OFFICER, PROVIDER
Phone: (253) 848-0351
Address
Address
319 5Th St SW, Puyallup, WA 98371
National Provider ID: 1366657918
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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