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MRS. ALMA REGINA MACCLAIN RN

Ambulatory Care >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1134275977

Individual Registrant:
MRS. ALMA REGINA MACCLAIN RN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
6203 AGENCY LOOP ROAD  WELLPINIT, WA 99040 US
Tel: 509-258-4517  Fax: 509-258-4456

Contact information for business:
130 RAILROAD AVE PO BOX 44 REARDAN, WA 99029 US
Tel: 509-258-4517  Fax: 509-258-4456

Registration Information:
NPI: 1134275977
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WP2201XNursing Service Providers
Registered Nurse
Ambulatory Care
WARN00034154

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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