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Individual

MRS. POLLY A HERRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
615 8TH ST, HOQUIAM, WA 98550
(509) 575-4084
Mailing address
921 14TH AVENUE, LONGVIEW, WA 98632
(360) 423-0203
(360) 577-0269

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60067028
WA

Other

Enumeration date
02/06/2015
Last updated
04/05/2019
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