Individual
LAURIE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 LINK RD, GLEED, WA 98904-9890
(509) 575-4084
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN00110373
WA
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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