Individual
AUTUMN PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8411 E JACKSON AVE, MILLWOOD, WA 99212-2370
(509) 230-4298
Mailing address
8411 E JACKSON AVE, MILLWOOD, WA 99212-2370
(509) 230-4298
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60119735
WA
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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