Individual
TERI LAWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1370 BRIDGE ST, CLARKSTON, WA 99403-2332
(509) 758-2568
Mailing address
2932 24TH ST, CLARKSTON, WA 99403-1627
(509) 758-2568
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN60283136
WA
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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