Individual
ANGELA MARIE REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2926 NE ALDER ST, BREMERTON, WA 98310-5412
(360) 509-5704
Mailing address
2926 NE ALDER ST, BREMERTON, WA 98310-5412
(360) 509-5704
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
3747A06650X
WA
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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