Individual
CANDICE LEEANE CUELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7369
(360) 397-8474
Mailing address
PO BOX 1337, VANCOUVER, WA 98666-1337
(360) 397-8474
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00156366
WA
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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