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Ms. Alida Diane Maki, RN
Community Health Registered Nurse in Grays River, Washington
NPI 1154472363

Alida Diane Maki is a Community Health Registered Nurse based in Grays River, WA and is specialized in Community Health. Alida Diane Maki practices in Grays River, WA and has the professional credentials of RN. The NPI Number for Alida Diane Maki is 1154472363 and holds a License No. (Washington).

The current practice location address for Alida Diane Maki is 15 Fairview Rd, Grays River, WA and can be reached out via phone at 360-465-2392.

Location: 15 Fairview Rd, Grays River, WA, 98621-9724
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154472363
Provider Name
Alida Diane Maki
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
15 Fairview Rd, Grays River, WA, 98621-9724
Phone Number
360-465-2392
Fax Number
Provider Enumeration Date
01/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
098102 05 OR
institution
Provider Business Practice Location Address Details
Address
15 Fairview Rd
City
Grays River
State
Washington
Zip
98621-9724
Phone Number
360-465-2392
Fax Number
person
Provider Business Mailing Address Details
Address
15 Fairview Rd
City
Grays River
State
Washington
Zip
98621-9724
Phone Number
360-465-2392
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Community Health
Taxonomy
163WC1500X
License No.
(Oregon)
Definition
Definition to come...
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