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MS. ALIDA DIANE MAKI R.N.

Community Health >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1154472363

Individual Registrant:
MS. ALIDA DIANE MAKI R.N.
Gender: F
Sole Proprietor

Location and contact information for practice:
15 FAIRVIEW RD  GRAYS RIVER, WA 98621-9724 US
Tel: 360-465-2392  Fax: --

Contact information for business:
15 FAIRVIEW RD  GRAYS RIVER, WA 98621-9724 US
Tel: 360-465-2392  Fax: --

Registration Information:
NPI: 1154472363
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WC1500XNursing Service Providers
Registered Nurse
Community Health
OR

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
098102OR05




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