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LIBERTY P MACE, I.M.T. (ASCPI) – NPI #1437925278
Medical Technologist

NPI Profile for LIBERTY P MACE in WALLA WALLA, WA.

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Contact Information

LIBERTY P MACE, I.M.T. (ASCPI)
401 W POPLAR ST
WALLA WALLA, WA  99362-2846
 Phone: 509-897-5722
 Fax: 509-522-5724
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Medical Technologist

 246QM0706X
Indicates primary specialty

NPI Profile & details for LIBERTY P MACE · (Female)

NPI # 1437925278
Status Active
Credentials I.M.T. (ASCPI)
Entity Individual
Enumeration date 12/04/2023
Last updated 12/04/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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