Individual
VANESSA HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16525 100TH WAY SE, YELM, WA 98597-9629
(360) 995-3795
Mailing address
205 4TH ST SE, YELM, WA 98597-9621
(907) 310-9551
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
61087172
WA
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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