Individual
VERNON RONDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 BOGACHIEL WAY, FORKS, WA 98331-9120
(360) 374-6271
Mailing address
PO BOX 189, LA PUSH, WA 98350-0189
(360) 374-2644
(360) 374-2644
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60224310
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61260912
WA
Other
Enumeration date
04/05/2018
Last updated
02/08/2022
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