Individual
HEIDI LYNNETTE KANGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1128 BROADWAY ST, LONGVIEW, WA 98632-3831
(360) 999-7749
Mailing address
120 SOLOMON RD APT A3, KELSO, WA 98626-1751
(360) 957-9294
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
60823371
WA
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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