Individual
ANDI BIEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
111 WHITEHAWK BLVD NW, ORTING, WA 98360-7480
(360) 893-3565
Mailing address
111 WHITEHAWK BLVD NW, ORTING, WA 98360-7480
(360) 893-3565
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00037348
WA
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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