Individual
MS. ALICE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9444
(360) 623-1117
Mailing address
3106 VISTA VERDE LN SW, OLYMPIA, WA 98512-1448
(406) 370-0616
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00163862
WA
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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