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Individual

KAYLIE M REIGHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
(509) 684-5286
Mailing address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
(509) 684-5286

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
60984606
WA
175T00000X
Peer Specialist
Primary
CG60984606
WA
376K00000X
Nurse's Aide
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/09/2019
Last updated
06/09/2022
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