Individual
SANDRA RUTH DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1057 12TH AVENUE, LONGVIEW, WA 98632
(360) 261-7848
Mailing address
3817 COTTONWOOD ST, LONGVIEW, WA 98632-4970
(360) 430-6607
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00169612
WA
163WI0500X
Infusion Therapy Registered Nurse
RN00169612
WA
Other
Enumeration date
11/04/2022
Last updated
04/19/2023
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