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Individual

MRS. ELLETA NORENE GRIFFIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
233 S MARKET BLVD, CHEHALIS, WA 98532-3039
(360) 807-7245
Mailing address
2428 W REYNOLDS AVE SW, CENTRAILA, WA 98531
(360) 330-9044

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP000050550
WA

Other

Enumeration date
01/17/2013
Last updated
04/19/2021
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