Individual
QUANTRELL L FELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 98431-1100
(253) 968-3066
Mailing address
9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 98431-1100
(253) 968-3066
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LP 60127828
WA
164X00000X
Licensed Vocational Nurse
Primary
224646
TX
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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