Individual
TAYLOR WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
305 PACIFIC AVE S, KELSO, WA 98626-1638
(360) 425-5378
Mailing address
305 PACIFIC AVE S, KELSO, WA 98626-1638
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60924263
WA
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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