Individual
KELSEY DIANE FORSLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23007 MARINE VIEW DR S APT B206, DES MOINES, WA 98198-8469
(206) 579-3990
Mailing address
23007 MARINE VIEW DR S APT B206, DES MOINES, WA 98198-8469
(206) 579-3990
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00056088
WA
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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