Individual
DALE ANN RAYBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
LINCOLN 231 21ST AVE. SE, OLYMPIA, WA 98501-2927
(360) 596-6400
(360) 596-6401
Mailing address
213 21ST AVE SE, OLYMPIA, WA 98501-2927
(360) 596-6400
(360) 596-6401
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00047451
WA
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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