Individual
ANGEL R RAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
982 E COLUMBIA AVE STE 201, COLVILLE, WA 99114-3316
(096) 855-0005
Mailing address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
(509) 690-5785
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CG61540106
WA
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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