Individual
NICOLE KEELING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
319 W NORTHSHORE DR, MOSES LAKE, WA 98837-1646
(509) 431-0749
Mailing address
319 W NORTHSHORE DR, MOSES LAKE, WA 98837-1646
(509) 431-0749
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC 60424799
WA
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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