Individual
DESIREE M ISLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 7TH ST, HOQUIAM, WA 98550-2506
(360) 532-5454
Mailing address
444 EKLUND AVE, HOQUIAM, WA 98550-1810
(702) 236-6429
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
00047861
WA
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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