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Organization

ANGELA ERDAHL, RN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA M ERDAHL RN (REGISTERED NURSE)
(253) 847-2012
Entity
Organization

Contact information

Practice address
12102 294TH ST E, GRAHAM, WA 98338-9048
(253) 847-2012
Mailing address
PO BOX 158, KAPOWSIN, WA 98344-0158
(253) 847-2012

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RN00172277
WA

Other

Enumeration date
01/17/2015
Last updated
01/17/2015
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