Individual
QUIANA LATRICE MCKELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3857 MARTIN WAY E, OLYMPIA, WA 98506-5268
(360) 704-7170
Mailing address
3857 MARTIN WAY E, OLYMPIA, WA 98506-5268
(360) 704-7170
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60955454
WA
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
03/22/2022
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