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Individual

PATTIE RAE TUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, IBCLC

Contact information

Practice address
325 E 6TH ST, PORT ANGELES, WA 98362-6203
(360) 457-8355
Mailing address
1455 VIEW VISTA PARK, PORT ANGELES, WA 98362-9356
(360) 565-4141

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN00103617
WA

Other

Enumeration date
04/12/2022
Last updated
04/12/2022
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