NPI 1437925278
Liberty Puyal Mace, IMTASCPI
Practice location
- Address
- 401 W Poplar St, Walla Walla, WA 99362-2846
- Phone
- (509) 897-5722
- Fax
- (509) 522-5724
- Mailing address
- 1931 Alco Ave, Walla Walla, WA 99362-4353
Registered specialties
Medical Technologist
Primary
Registry record
- NPI
- 1437925278
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Dec 2023
- Record last updated
- 4 Dec 2023
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.