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Individual

KELLYANNE MARGARET SUAREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
73206 E 279 PR NE, RICHLAND, WA 99352-7786
(253) 576-6557
Mailing address
73206 E 279 PR NE, RICHLAND, WA 99352-7786
(253) 576-6557

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
61548299
WA

Other

Enumeration date
06/15/2024
Last updated
06/15/2024
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