Individual
JAALA LANGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
174 1ST AVE N, ILWACO, WA 98624-9137
(360) 642-3181
Mailing address
PO BOX H, ILWACO, WA 98624-0258
(360) 642-3181
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN00130140
WA
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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