Individual
JOSHUA LEE CHISNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 E. WASHINGTON ST., NAPAVINE, WA 98565
(360) 262-3320
Mailing address
PO BOX 259, NAPAVINE, WA 98565-0259
(360) 262-3320
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
ES60606567
WA
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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