Individual
DEANNA WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NC
Contact information
Practice address
5107 NW HAYES RD, WOODLAND, WA 98674-2934
(360) 798-9730
Mailing address
5107 NW HAYES RD, WOODLAND, WA 98674-2934
(360) 798-9730
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC10024817
WA
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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