Individual
KRISTY CARRUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
516 E 1ST ST, ABERDEEN, WA 98520-4106
(360) 743-4610
Mailing address
516 E 1ST ST, ABERDEEN, WA 98520-4106
(360) 743-4610
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00049649
WA
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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