Individual
LILLIE BEATRICE TERRELL-MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 E NELSON RD, MOSES LAKE, WA 98837-2360
(509) 765-6788
Mailing address
3000 GOFFS FALLS RD, MANCHESTER, NH 03103-6109
(800) 995-2673
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
N160939669
WA
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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