Individual
MR. DEBRA JOYCE CLELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2929 MCDOUGALL AVE, ENUMCLAW, WA 98022-7410
(360) 802-7669
Mailing address
2929 MCDOUGALL AVE, ENUMCLAW, WA 98022-7410
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00044578
WA
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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