Individual
MRS. KATHLEEN MARIE JONES ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
307 W COTA ST, SHELTON, WA 98584-2265
(360) 205-8002
Mailing address
631 E BALLANTRAE DR, SHELTON, WA 98584-8571
(503) 949-6913
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN61008531
WA
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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