Individual
ANGELA SUITS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 W COTA ST, SHELTON, WA 98584-2265
(360) 470-0651
Mailing address
7700 NE 72ND AVE APT F104, VANCOUVER, WA 98661-1666
(360) 470-0651
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LP00048382
WA
Other
Enumeration date
11/25/2020
Last updated
12/17/2021
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