Individual
KIMBERLY COLLERAN HULSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
21108 ORVILLE RD E, ORTING, WA 98360-9764
(253) 376-8604
Mailing address
21108 ORVILLE RD E, ORTING, WA 98360-9764
(253) 376-8604
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61074348
WA
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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