Individual
MARISA KELSEY ATTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
740 NE DALLAS ST, CAMAS, WA 98607-2058
(360) 834-5055
(360) 834-0504
Mailing address
740 NE DALLAS ST, CAMAS, WA 98607-2058
(360) 834-5055
(360) 834-0504
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60600658
WA
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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