Individual
REGINA DARLINE HIEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 7TH ST, HOQUIAM, WA 98550-2506
(360) 532-5454
Mailing address
2628 SUMNER AVE, HOQUIAM, WA 98550-2925
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61503199
WA
164X00000X
Licensed Vocational Nurse
714809
CA
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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