Individual
MR. BRIAN D WORLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
MAMC 9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 98431-1100
(253) 968-1836
Mailing address
MAMC 9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 98431-1100
(253) 968-1836
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60064854
WA
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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