Most Relevant Information
Provider Data
| NPI Number: | 1003533050 |
| Provider Name: | MARCELLE DURRETTE MCGRAW LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LP00037021 |
Most Important Dates
| Enumeration Date: | 10/20/2022 |
| Last Updated: | 10/20/2022 |
Provider Practice Location
1750 BOBS HOLLOW LN
DUPONT
WA
983276709
Practice Location Phone/Fax
| Phone: | 2535837208 |
| Fax: | 2535837292 |
Provider Mailing Location
16317 44TH AVE E
TACOMA
WA
984465913
Provider Mailing Phone/Fax
| Phone: | 2532972689 |
| Fax: |