Individual
DARLENE POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 N MARKET BLVD STE C, CHEHALIS, WA 98532-2677
(360) 948-0203
Mailing address
151 N MARKET BLVD STE C, CHEHALIS, WA 98532-2677
(360) 948-0203
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG60897382
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CG60897382
—
WA
Enumeration date
11/07/2018
Last updated
11/07/2018
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