Individual
KRISTINE HANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13311 182ND AVE E, BONNEY LAKE, WA 98391-4528
(360) 889-0577
Mailing address
13311 182ND AVE E, BONNEY LAKE, WA 98391-4528
(360) 889-0577
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60757362
WA
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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