Chan Ly
NPI #1932736121 in Olympia, Washington
Provider Information
- NPI Number
- 1932736121
- Entity Type
- Individual
- Name
- Chan Ly
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Mar 26, 2020
- Last Updated
- Sep 11, 2024
Practice Location
- Address
- 141 LILLY RD NE
- City
- Olympia
- State
- Washington
- ZIP Code
- 98506-5028
- Phone
- (360) 413-8880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Case Management — Case Management |
| Nurse Practitioner |
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