Provider Demographics
NPI:1912556432
Name:BRIGGS, MARJORIE E
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:E
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 RODGERS RD
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-9521
Mailing Address - Country:US
Mailing Address - Phone:509-972-4909
Mailing Address - Fax:
Practice Address - Street 1:160 RODGERS RD
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-9521
Practice Address - Country:US
Practice Address - Phone:509-972-4909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-06
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider