Individual
ELENA V KHOROSHEVA-BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, GEM-STONE THERA
Contact information
Practice address
330 ROLLINGWOOD DR, KELSO, WA 98626-9756
(503) 442-8826
Mailing address
330 ROLLINGWOOD DR, KELSO, WA 98626-9756
(503) 442-8826
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60440752
WA
Other
Enumeration date
08/26/2021
Last updated
11/23/2021
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