Individual
CRESENCIA C. CLEAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 N 4TH AVE, PASCO, WA 99301-5257
(509) 547-7704
Mailing address
520 N 4TH AVE, PASCO, WA 99301-5257
(509) 547-7704
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00126038
WA
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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