Organization
LETA AYRES DELEGATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LETA AYRES RN (PRESIDENT)
(360) 600-1625
Entity
Organization
Contact information
Practice address
7410 SE EVERGREEN HWY, VANCOUVER, WA 98664
(360) 597-3835
(360) 597-4654
Mailing address
7410 SE EVERGREEN HWY, VANCOUVER, WA 98664
(360) 597-3835
(360) 597-4654
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00123177
WA
364SH0200X
Home Health Clinical Nurse Specialist
RN00123177
WA
Other
Enumeration date
08/13/2015
Last updated
09/17/2015
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