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Contact Information

LESLI L DULLUM, LMP RC
6900 RANGER WAY
SILVERDALE, WA98383
 Phone: 360-509-0345
 Fax: 360-692-6339
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for LESLI L DULLUM · (Female)

NPI # 1790944569
Status Active
Credentials LMP RC
Entity Individual
Enumeration date 06/05/2008
Last updated 06/05/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MA 00015680
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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