Individual
ANN GWINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 W POPLAR ST, WALLA WALLA, WA 99362
(509) 897-8600
Mailing address
209 W POPLAR ST, WALLA WALLA, WA 99362-2828
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC10002400
WA
Other
Enumeration date
02/26/2024
Last updated
04/30/2024
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