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Individual

MS. DENNINE L WAKEFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
17 RUSTEMEYER RD TRLR 17, ABERDEEN, WA 98520-9522
(360) 591-9944
Mailing address
17 RUSTEMEYER RD TRLR 17, ABERDEEN, WA 98520-9522
(360) 591-9944

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00027341
WA

Other

Enumeration date
04/24/2024
Last updated
04/24/2024
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