Individual
COLLISTA JEAN ZOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
40101 NE 32ND AVE, LA CENTER, WA 98629-5120
(360) 335-4928
Mailing address
PO BOX 410, LA CENTER, WA 98629-0410
(360) 335-4928
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 60065661
WA
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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