Individual
EVELYN R HEROUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 HUDSON ST, LONGVIEW, WA 98632-2930
(360) 504-1022
Mailing address
1700 HUDSON ST, LONGVIEW, WA 98632-2930
(360) 504-1022
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN00130465
WA
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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