Individual
COLLEEN LAEL PATTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN LAC
Contact information
Practice address
1334 PUGET ST NE, OLYMPIA, WA 98506-4132
(360) 481-6498
Mailing address
1334 PUGET ST NE, OLYMPIA, WA 98506-4132
(360) 481-6498
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60695222
WA
Other
Enumeration date
10/29/2016
Last updated
10/29/2016
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