Individual
TRACI SHEETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6605 W ARGENT RD, PASCO, WA 99301-1905
(509) 851-2772
Mailing address
6605 W ARGENT RD, PASCO, WA 99301-1905
(509) 851-2772
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN00155739
WA
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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