Individual
DEANNA KAY RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
300 SW 7TH ST, RENTON, WA 98057-2307
(425) 204-2422
Mailing address
1086 S.W 12TH AVENUE, SEATTLE, WA 98164-1381
(253) 495-6845
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60118025
WA
Other
Enumeration date
05/20/2015
Last updated
05/20/2016
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