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Individual

MS. CONNIE RAE RODE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
515 W COURT, PASCO, WA 99301
(509) 547-2204
Mailing address
524 N PERRY STREET, KENNEWICK, WA 99336
(509) 547-2204

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0009078
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN0009078
LINCENSE
WA
Enumeration date
06/13/2007
Last updated
07/08/2007
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