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Individual

MS. HELENMARIE WAGONER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN-NIC

Contact information

Practice address
323 E 6TH ST, PORT ANGELES, WA 98362-6203
(360) 457-8355
Mailing address
323 E 6TH ST, PORT ANGELES, WA 98362-6203
(360) 457-8355

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN00125357
WA

Other

Enumeration date
06/04/2020
Last updated
06/04/2020
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