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Individual

MICHELLE DWYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
22702 LAKE VIEW DRIVE UNIT G4, MOUNTLAKE TERRACE, WA 98043-2354
(206) 992-4003
Mailing address
22702 LAKE VIEW DRIVE G4, MOUNTLAKE TERRACE, WA 98043-2354
(206) 992-4003

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN00088801
WA

Other

Enumeration date
08/06/2013
Last updated
08/06/2013
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