Individual
CHRISTINA ENTROP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
26928 120TH ST E, BUCKLEY, WA 98321-8565
(360) 829-5516
Mailing address
11017 204TH AVENUE CT E, BONNEY LAKE, WA 98391-7951
(253) 862-4778
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00048014
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164W00000X
—
WA
Enumeration date
10/25/2012
Last updated
10/25/2012
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