Most Relevant Information
Provider Data
| NPI Number: | 1003636465 |
| Provider Name: | ROSALIE WRIGHT LPN/LVN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 1099752 |
Most Important Dates
| Enumeration Date: | 10/11/2024 |
| Last Updated: | 10/11/2024 |
Provider Practice Location
305 PACIFIC AVE S STE C
KELSO
WA
986261638
Practice Location Phone/Fax
| Phone: | 3604255378 |
| Fax: |
Provider Mailing Location
305 PACIFIC AVE S STE C
KELSO
WA
986261638
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |