Individual
MARI-LOU ARTZ-PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
240 A STREET, BUCKLEY, WA 98321-2050
(360) 829-6162
(360) 829-3391
Mailing address
240 NORTH A STREET, PO BOX 2050, BUCKLEY, WA 98321
(360) 829-6162
(360) 829-3391
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP 00021806
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164W00000X
—
WA
Enumeration date
10/30/2012
Last updated
10/30/2012
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