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Individual

ERICA MCKISSACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
609 SPEYERS RD, SELAH, WA 98942-1050
(573) 645-9129
Mailing address
959 PO BOX, YAKIMA, WA 98907
(573) 645-9129

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28262517A
IN

Other

Enumeration date
11/06/2025
Last updated
11/06/2025
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