Individual
SHEILA HERETH-HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN60459792
Contact information
Practice address
13820 19TH AVE NE, TULALIP, WA 98271-6706
(425) 238-3643
Mailing address
13820 19TH AVE NE, TULALIP, WA 98271-6706
(425) 238-3643
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60459792
WA
Other
Enumeration date
05/26/2019
Last updated
05/26/2019
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