Individual
DANIEL SPAHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
107 1ST ST N, YELM, WA 98597-7718
(360) 458-2500
Mailing address
6703 LAZY ST SW, TUMWATER, WA 98512-7126
(360) 951-2646
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00057684
WA
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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