Individual
HEIDI JO CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3410 NE 127TH AVE, VANCOUVER, WA 98682-7654
(503) 880-3567
Mailing address
3410 NE 127TH AVE, VANCOUVER, WA 98682-7654
(503) 880-3567
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN60765964
WA
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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