Individual
SHADAE HELIODORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
14517 40TH AVE W, LYNNWOOD, WA 98087-5502
(860) 313-9758
Mailing address
3725 PROVIDENCE POINT DR SE, ISSAQUAH, WA 98029-7219
(425) 391-2800
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61215501
WA
Other
Enumeration date
01/05/2024
Last updated
01/11/2024
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