Individual
CHARLETTE JANELL GLINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PST
Contact information
Practice address
6241 SHALE ST, WEST RICHLAND, WA 99353-7843
(509) 619-2050
Mailing address
PO BOX 4512, WEST RICHLAND, WA 99353-4008
(509) 567-5873
(509) 398-9389
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
60346272
WA
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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