Individual
RITA FALLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
736 15TH ST, WASHOUGAL, WA 98671-1405
(360) 869-9121
Mailing address
PO BOX 817, CAMAS, WA 98607-0817
(136) 086-9912
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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