FALLON BOONE

ORTING, WA
NPI1164960159
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WA  LP60546971)
Enumeration Date2017-02-09
Last Update Date2017-02-09
Business Address
-- FALLON BOONE
320 WASHINGTON AVE N
ORTING, WA 98360-8404
Phone number: 360-893-2246
Mailing Address
-- FALLON BOONE
121 WHITESELL ST NE
ORTING, WA 98360-8410
Phone number: 360-893-6500