Individual
TILA LIZANN HUBRECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8819 W VICTORIA AVE STE 110, KENNEWICK, WA 99336-7193
(509) 783-1851
Mailing address
526 N GRANT ST, KENNEWICK, WA 99336-7694
(509) 380-1140
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
60768359
WA
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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