Individual
DYLAN VAN DENEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 E BARKER ST, MEDICAL LAKE, WA 99022-9003
(509) 565-3100
Mailing address
424 S NEWER RD, SPOKANE VALLEY, WA 99037-9726
(303) 919-7792
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN.1682944
CO
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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