Individual
TALLIA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
295 BRADLEY BLVD STE 104, RICHLAND, WA 99352-4486
(509) 578-9997
Mailing address
295 BRADLEY BLVD STE 104, RICHLAND, WA 99352-4486
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN60656286
WA
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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