Individual
REIDUN E PEDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
403 STATE ST., LA CONNER, WA 98257
(360) 739-5656
Mailing address
PO BOX 444, LA CONNER, WA 98257
(360) 424-8404
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN65356
WA
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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