Individual
LESLI LYNN DULLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP RC
Contact information
Practice address
6900 RANGER WAY, SILVERDALE, WA 98383
(360) 509-0345
(360) 692-6339
Mailing address
PO BOX 600, SILVERDALE, WA 98383-0600
(360) 509-0345
(360) 692-6339
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA 00015680
WA
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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