Individual
SAGE ANDREANA EHRLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5108 260TH ST E, GRAHAM, WA 98338-9609
(253) 800-6000
Mailing address
15622 92ND WAY SE, YELM, WA 98597-8700
(970) 301-2826
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
61331456
WA
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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