Quantrell L Felder LPN

NPI 1598071789 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1598071789
Gender Male
Enumeration Date 08/25/2010
Last Updated 08/25/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
9040 FITZSIMMONS DR
JOINT BASE LEWIS MCCHORD WA, 98431-1100, US
Phone (253) 968-3066
Fax
Business Location
9040 FITZSIMMONS DR
JOINT BASE LEWIS MCCHORD WA, 98431-1100, US
Phone (253) 968-3066
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Washington
License Number LP 60127828
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According to our database, Quantrell L Felder LPN NPI is 1598071789, taxonomy code is 164W00000X and license number is LP 60127828, license state is located at Washington. Quantrell L Felder LPN physically located at 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord WA, 98431-1100. NPI Number Quantrell L Felder LPN has the Individual type.

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1598071789 NPI number is provided on an as is basis without warranty of any kind. 1598071789 is maintained by the National Plan & Provider Enumeration System. The contents of Quantrell L Felder LPN are for informational purposes only.