Individual
THERESA MARIE TRIMMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CCM
Contact information
Practice address
19995 CLOVERLAND RD, ASOTIN, WA 99402-9708
(509) 243-9996
(509) 243-9998
Mailing address
PO BOX 77, LEWISTON, ID 83501-0077
(509) 243-9996
(509) 243-9998
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN00111732
WA
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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