Individual
TERESA GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1318 W IVY AVE, MOSES LAKE, WA 98837-2065
(509) 766-2670
Mailing address
352 MOCLIFF RD, EPHRATA, WA 98823-1536
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00040762
WA
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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