Individual
TELLEY WORMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 SE 5TH PL, RENTON, WA 98058-2836
(206) 300-5086
Mailing address
PMB 5054 P.O. BOX 257, OLYMPIA, WA 98507
(206) 300-5086
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
WA
Other
Enumeration date
10/02/2019
Last updated
03/11/2020
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