Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | MA 60159945 | WA |
NPI | 1316237258 |
---|---|
Provider Name | Rebekka Lynn Hulet |
First Address | Kent, WA 98030-4965 |
Second Address | Kent, WA 98030-4965 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2011 |
Last Update Date | 12/04/2011 |