TYLER OWEN DAHLQUIST

COLVILLE, WA
NPI1982041265
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
(Licence: WA  NC60015078)
Enumeration Date2013-05-28
Last Update Date2013-05-28
Business Address
-- TYLER OWEN DAHLQUIST
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
Mailing Address
-- TYLER OWEN DAHLQUIST
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: