Individual
MARCELLE DURRETTE MCGRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1750 BOBS HOLLOW LN, DUPONT, WA 98327-6709
(253) 583-7208
(253) 583-7292
Mailing address
16317 44TH AVE E, TACOMA, WA 98446-5913
(253) 297-2689
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00037021
WA
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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