Individual
CAROLINA E SANCHEZ-VAN KOMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6203 AGENCY LOOP RD, BOX 357, WELLPINIT, WA 99040
(509) 258-4517
Mailing address
PO BOX 193, 5273 HUBERT RD, FORD, WA 99013-0193
(509) 258-9011
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00024084
WA
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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