Delora Hale
Home Health Aide in Moxee, WA. Individual provider (NPI-1).
NPI number1689207151
StatusActive
Last updated in NPPESFeb 12, 2020
Details
- NPI
- 1689207151
- Entity type
- Individual (NPI-1)
- Name
- Delora Hale
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 12, 2020
- Certification date
- Feb 12, 2020
- Last updated
- Feb 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
102 Rainier AveMoxee, WA 98936-9396
Phone 509-833-9174
Mailing address
102 Rainier AveMoxee, WA 98936-9396
Phone 509-833-9174
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