Individual
DEBORAH MOORE CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1433 NW ASH ST, CAMAS, WA 98607-1537
(360) 910-2652
Mailing address
1433 NW ASH ST, CAMAS, WA 98607-1537
(360) 910-2652
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200040707RN
OR
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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