NPI | 1366216541 |
---|---|
Other Name | DEBORAH LYNN FELLCARLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: OR 096006066RN) |
Enumeration Date | 2023-11-08 |
Last Update Date | 2023-11-08 |