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MONTE VANCE RIDLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RNFA

Contact information

Practice address
612 CEDAR ST, VANCOUVER, WA 98661-5544
(360) 696-9601
(360) 696-9601
Mailing address
PO BOX 873208, VANCOUVER, WA 98687-3208
(360) 696-9601
(360) 696-9601

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN00133491
WA
163WR0006X
Registered Nurse First Assistant
OR

Other

Enumeration date
12/22/2006
Last updated
07/08/2007
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