Individual
DEBORA JEAN KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16715 AURORA AVE N # 102, SHORELINE, WA 98133-5310
(206) 546-9766
Mailing address
2715 122ND CT NE, LAKE STEVENS, WA 98258-9121
(425) 346-2819
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
00036172
WA
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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