Individual
ROSE A WATERFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 W MAIN ST, CHEHALIS, WA 98532-4817
(360) 748-4315
Mailing address
135 W MAIN ST, CHEHALIS, WA 98532-4817
(360) 748-4315
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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