Individual
HALEY DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5321 REMINGTON DR, PASCO, WA 99301-8596
(253) 225-6696
Mailing address
5321 REMINGTON DR, PASCO, WA 99301-8596
(253) 225-6696
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
61056888
WA
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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