Individual
LATASHA LYNN MADRIGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
9408 NE 104TH AVE, VANCOUVER, WA 98662-2172
(360) 448-5406
Mailing address
9408 NE 104TH AVE, VANCOUVER, WA 98662-2172
(360) 448-5406
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60733051
WA
Other
Enumeration date
03/20/2022
Last updated
03/20/2022
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