Individual
HOLLY VAN DYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6304 TYLER CT SE, LACEY, WA 98513-4305
(541) 227-3885
Mailing address
6304 TYLER CT SE, LACEY, WA 98513-4305
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN60273859
WA
Other
Enumeration date
09/16/2024
Last updated
11/15/2024
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