SHENANDOAH HALLSTROM

Nurse's Aide

Active Individual
NPI: 1255990628

Practice Address

720 14TH AVE
Longview, WA 98632

Phone: (360) 353-9840

Specialties

Specialty Code Primary License
Nurse's Aide 376K00000X Yes 60636616 (WA)

Frequently Asked Questions

NPI 1255990628 is the National Provider Identifier for SHENANDOAH HALLSTROM, a Nurse's Aide provider located in Longview, WA. This NPI was enumerated on June 10, 2019.
SHENANDOAH HALLSTROM practices at 720 14TH AVE, Longview, WA 98632.

Quick Facts

NPI
1255990628
Type
Individual
Enumerated
Jun 10, 2019
Last Updated
Jun 10, 2019

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