Individual
MRS. GLENDA HENDRICA VANHAITSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
305 COLLEGE ST NE, LACEY, WA 98516-5390
(360) 412-4663
Mailing address
305 COLLEGE ST NE, LACEY, WA 98516-5390
(360) 412-4663
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00123944
WA
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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