Individual
DEANNA PAIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 W COTA ST, SHELTON, WA 98584-2265
(360) 621-1781
Mailing address
307 W COTA ST, SHELTON, WA 98584-2265
(360) 621-1781
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN60384293
WA
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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