Individual
DEBORAH S HALSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 ISRAEL RD SW, TUMWATER, WA 98501-5450
(360) 709-7635
Mailing address
6624 DELPHI RD SW, OLYMPIA, WA 98512-2122
(360) 259-2856
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00046289
WA
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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