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Individual

THERESE WILLIAMS DUMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
307 S 13TH ST STE 300, MOUNT VERNON, WA 98274-4100
(360) 336-9757
(360) 814-5237
Mailing address
1400 E KINCAID ST, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60841862
WA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP60841862
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2107382
WA
Enumeration date
10/02/2006
Last updated
10/27/2021
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