Individual
GENOVEVA BANAL HOENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 W COTA ST, SHELTON, WA 98584-2265
(360) 205-8001
Mailing address
307 W COTA ST, SHELTON, WA 98584-2265
(360) 205-8001
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN00073490
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN00073490
DOH
WA
Enumeration date
10/31/2022
Last updated
10/31/2022
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