Individual
MARY SALMON LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 8TH ST, HOQUIAM, WA 98550-2507
(360) 532-8629
Mailing address
3857 MARTIN WAY E, OLYMPIA, WA 98506-5268
(360) 704-7170
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60956917
WA
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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