NPI 1295010940

Zemla Family Corporation

Organisation Preferred Provider Organization Bonney Lake, WA

Practice location

Address: 9925 214th Ave E Suite C, Bonney Lake, WA 98391-3910
Phone: (253) 753-6256
Fax: (253) 862-5553

Authorised official

Name: Jennie Zemla
Title: President
Phone: (253) 753-6256

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence CH60187198 (WA)

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Registry record

NPI: 1295010940
Entity type: Organization
NPI issued: 13 Oct 2011
Record last updated: 13 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.