Individual
LELA ANN BICKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CCM, RIS
Contact information
Practice address
5203 S TACOMA CT, KENNEWICK, WA 99337-4077
(509) 276-2042
Mailing address
5203 S TACOMA CT, KENNEWICK, WA 99337-4077
(509) 276-2042
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00057632
WA
163WC0400X
Case Management Registered Nurse
RN00057632
WA
Other
Enumeration date
09/19/2024
Last updated
10/02/2024
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