Individual
MRS. DIANNE MARIE MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6607 W OCTAVE ST, PASCO, WA 99301-2084
(509) 546-0929
(509) 546-0929
Mailing address
6607 W OCTAVE ST, PASCO, WA 99301-2084
(509) 546-0929
(509) 546-0929
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00089580
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
494544
SSPS PAYEE NUMBER
WA
Enumeration date
07/22/2013
Last updated
07/22/2013
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