Brooke Wise
NPI #1760274484 in Kelso, Washington
Provider Information
- NPI Number
- 1760274484
- Entity Type
- Individual
- Name
- Brooke Wise
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 19, 2025
- Last Updated
- May 19, 2025
Practice Location
- Address
- 305 PACIFIC AVE S STE C
- City
- Kelso
- State
- Washington
- ZIP Code
- 98626-1638
- Phone
- (360) 356-7759
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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