Individual
NIKKI MEADOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34502 NW 21ST AVE, LA CENTER, WA 98629-3001
(503) 750-6339
Mailing address
34502 NW 21ST AVE, LA CENTER, WA 98629-3001
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60170297
WA
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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