Raedelle Jeane Lawrence - Wallace, ARNP

NPI #1538471453 in Walla Walla, Washington

Provider Information

NPI Number
1538471453
Entity Type
Individual
Name
Raedelle Jeane Lawrence - Wallace, ARNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
ARNP
Enumeration Date
Jul 8, 2010
Last Updated
Jul 8, 2010

Practice Location

Address
401 W POPLAR ST
Address 2
CARDIOLOGY SUITE
ZIP Code
99362-2846
Phone
(509) 522-5731

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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