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Individual

PAMELA MARIE ALWINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-2000
Mailing address
375 HARYU RD, LONGVIEW, WA 98632-9188
(360) 270-9868

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
HC60255902
WA
376K00000X
Nurse's Aide
Primary
NC60195788
WA
376K00000X
Nurse's Aide
PC60357029
WA

Other

Enumeration date
01/10/2017
Last updated
01/10/2017
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