Individual
HENRY CHARLES SEMPLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
9930 EVERGREEN WAY STE Z150, EVERETT, WA 98204-3889
(425) 347-5121
Mailing address
800 96TH AVE NE UNIT D202, LAKE STEVENS, WA 98258-7904
(425) 750-9089
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00042960
WA
Other
Enumeration date
10/13/2020
Last updated
10/23/2020
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