Individual
AUDREY M REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, RC
Contact information
Practice address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
Mailing address
13 W FRANKLIN STREET, CHEWELAH, WA 99109
(509) 935-7157
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN00030630
WA
Other
Enumeration date
11/24/2006
Last updated
11/28/2018
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