Individual
DHABIH ALAN SUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4150 NE NEOTSU DR, NEOTSU, OR 97364-9764
(509) 559-9552
Mailing address
4150 NE NEOTSU DR, NEOTSU, OR 97364-9764
(509) 559-9552
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60602454
WA
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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