Individual
LISA LYNNE HOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1700 HUDSON ST STE 105, LONGVIEW, WA 98632-2931
(360) 504-0122
Mailing address
201 ROCKY POINT RD, KELSO, WA 98626-4021
(360) 751-2352
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
10057616
WA
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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