Individual
MS. CONSTANCE JEAN DEHAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
712 SWIFT BLVD, SUITE 3B, RICHLAND, WA 99352-3578
(509) 460-4666
Mailing address
PO BOX 2523, PASCO, WA 99302-2523
(509) 545-4666
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA0022134
WA
Other
Enumeration date
10/04/2008
Last updated
10/04/2008
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