Individual
DOREEN R. HEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 581-7020
(253) 620-5112
Mailing address
9330 - 59TH AVE. SW, LAKEWOOD, WA 98499-6600
(253) 581-7020
(253) 620-5112
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
4703064716
MI
164W00000X
Licensed Practical Nurse
Primary
LP00045462
WA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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