Individual
KELLI GOSLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 LAKES STREET, NESPELEM, WA 99155
(509) 634-2913
Mailing address
PO BOX 71, NESPELEM, WA 99155-0071
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN186714
AZ
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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