Individual
MS. ANNA M KOOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1519 S GOLD ST, CENTRALIA, WA 98531-8952
(360) 523-4464
Mailing address
PO BOX 47, CENTRALIA, WA 98531-0047
(360) 523-4464
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC60290524
WA
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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