Individual
DEBI LYNN FETHEROLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20411 CORBRIDGE RD SE, MONROE, WA 98272-9693
(408) 390-1149
(800) 504-3707
Mailing address
20411 CORBRIDGE RD SE, MONROE, WA 98272-9693
(408) 390-1149
(800) 504-3707
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00092319
WA
Other
Enumeration date
11/13/2016
Last updated
11/13/2016
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