Individual
ANGELA ERDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12102 294TH ST E, GRAHAM, WA 98338-9048
(253) 847-2012
Mailing address
12102 294TH ST E, GRAHAM, WA 98338-9048
(253) 847-2012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00172277
WA
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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