Individual
GLORIA TRIEBENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21628 BOND RD NE, POULSBO, WA 98370-9034
(360) 509-9085
(360) 697-1761
Mailing address
21628 BOND RD NE, POULSBO, WA 98370-9034
(360) 509-9085
(360) 697-1761
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00047467
WA
Other
Enumeration date
12/23/2016
Last updated
12/23/2016
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