Individual
MRS. KATIE MARIE RHODES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
23726 SE ADAMS ST, BLACK DIAMOND, WA 98010-5029
(360) 536-6412
Mailing address
23726 SE ADAMS ST, BLACK DIAMOND, WA 98010-5029
(360) 536-6412
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60961074
WA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-165435
WA
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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