Individual
CAROL C POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2499
(208) 305-3466
Mailing address
3302 AQUEDUCT LN, PASCO, WA 99301-6046
(208) 305-3466
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60663559
WA
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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