Individual
MRS. KELLY ANN LEVEQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 SE 131ST AVE STE 205, VANCOUVER, WA 98683-4013
(360) 687-0025
(877) 360-9140
Mailing address
406 SE 131ST AVE STE 205, VANCOUVER, WA 98683-4013
(360) 687-0025
(877) 360-9140
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
60450910
WA
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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