Individual
ANGELA JEAN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
54 SENTINEL DR, STEILACOOM, WA 98388-1699
(253) 983-2300
Mailing address
1403 ADAMS ST, STEILACOOM, WA 98388-3801
(985) 517-6737
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60755302
WA
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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