Individual
GERALYN C RETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP,
Contact information
Practice address
720 W COURT ST, SUITE 8, PASCO, WA 99301-4178
(509) 545-6506
(509) 783-4455
Mailing address
4107 W 17TH AVE, KENNEWICK, WA 99338-7302
(509) 628-7321
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN00084823
WA
225700000X
Massage Therapist
MA00015313
WA
Other
Enumeration date
11/02/2010
Last updated
03/01/2011
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