Individual
SALLY ANNE CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20721 95TH ST SE, SNOHOMISH, WA 98290-7255
(360) 794-7699
Mailing address
PO BOX 1289, MONROE, WA 98272-4289
(360) 794-7699
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
917711
DSHS
WA
01
—
MA00004815
DOH
WA
Enumeration date
01/03/2015
Last updated
01/03/2015
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