Chanel Pedersen
NPI #1154877645 in Joint Base Lewis Mcchord, Washington
Provider Information
- NPI Number
- 1154877645
- Entity Type
- Individual
- Name
- Chanel Pedersen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Aug 25, 2016
- Last Updated
- Aug 25, 2016
Practice Location
- Address
- 690 BARNES BLVD
- State
- Washington
- ZIP Code
- 98438-1303
- Phone
- (253) 982-5603
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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