Individual
TRUDY BLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,CDE
Contact information
Practice address
1221 HIGHLAND AVE, CLARKSTON, WA 99403-2829
(509) 758-5511
(509) 254-0083
Mailing address
1221 HIGHLAND AVE, CLARKSTON, WA 99403-2829
(509) 758-5511
(509) 254-0083
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN60573521
WA
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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