Individual
CADIE MAE MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 397-8246
Mailing address
PO BOX 1678, VANCOUVER, WA 98668-1678
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60139573
WA
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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