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Annie Gaddis
Student in an Organized Health Care Education/Training Program in Longview, Washington
NPI 1053048272

Annie Gaddis is a Student in an Organized Health Care Education/Training Program based in Longview, WA. Annie Gaddis practices in Longview, WA. The NPI Number for Annie Gaddis is 1053048272 and holds a License No. (Washington).

The current practice location address for Annie Gaddis is 1128 Broadway St, Longview, WA and can be reached out via phone at 360-261-6930.

Location: 1128 Broadway St, Longview, WA, 98632-3326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053048272
Provider Name
Annie Gaddis
Credential
Provider Entity Type
Individual
Gender
Female
Address
1128 Broadway St, Longview, WA, 98632-3326
Phone Number
360-261-6930
Fax Number
Provider Enumeration Date
08/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1128 Broadway St
City
Longview
State
Washington
Zip
98632-3831
Phone Number
360-261-6930
Fax Number
person
Provider Business Mailing Address Details
Address
1128 Broadway St
City
Longview
State
Washington
Zip
98632-3831
Phone Number
360-261-6930
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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