Individual
DEBRA LEE SHINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
720 W COURT ST, SUITE 8, PASCO, WA 99301-4178
(509) 545-6506
Mailing address
PO BOX 1323, PASCO, WA 99301-1323
(509) 547-2204
(509) 542-8836
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00041083
WA
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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