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Organization

CUSTOM NURSE DELEGATION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA JOAN NOBLE RN, MS (REGISTERED NURSE DELEGATOR)
(509) 724-7103
Entity
Organization

Contact information

Practice address
9517 N DOVER RD, NINE MILE FALLS, WA 99026-9716
(509) 724-7103
Mailing address
9517 N DOVER RD, NINE MILE FALLS, WA 99026-9716
(509) 724-7103

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00080653
WA

Other

Enumeration date
09/25/2014
Last updated
09/25/2014
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