Individual
JUANITA SNYDER-NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2039 BELAIR PL, MOSES LAKE, WA 98837-2512
(509) 989-8183
Mailing address
2039 BELAIR PL, MOSES LAKE, WA 98837-2512
(509) 989-8183
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60524237
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 60524237
WASHINGTON STAET DEPARTMENT OF HEALTH
WA
Enumeration date
05/17/2015
Last updated
05/17/2015
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