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Individual
MITRA RADO
Active
Individual
MITRA RADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30006903
WA
363L00000X
Nurse Practitioner
RN00110787
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0332816
—
WA
05
—
9646241
—
WA
Enumeration date
09/07/2006
Last updated
10/06/2016
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