Individual
MICHAEL WAYNE DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 7TH ST, HOQUIAM, WA 98550-2506
(360) 532-5454
Mailing address
172 S RAZOR CLAM DR SW, OCEAN SHORES, WA 98569-9502
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
00051006
WA
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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