Individual
CHADY GLADYS WOLLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9720 S TACOMA WAY, LAKEWOOD, WA 98499-4456
(253) 604-7422
(253) 302-8493
Mailing address
15435 COLES CT SE, YELM, WA 98597-7208
(612) 384-2432
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
61562214
WA
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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