Individual
SANDRA VAN KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 WHITESELL ST NE, ORTING, WA 98360-8410
(360) 893-6500
(360) 893-4367
Mailing address
121 WHITESELL ST NE, ORTING, WA 98360-8410
(360) 893-6500
(360) 893-4367
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00043021
WA
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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