Individual
MRS. DESAREE WANCHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
222 E 2ND ST, GRANDVIEW, WA 98930-1342
(509) 203-6501
Mailing address
PO BOX 719, SUNNYSIDE, WA 98944-0719
(509) 837-1617
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60224977
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61517837
WA
Other
Enumeration date
10/17/2018
Last updated
03/07/2025
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