Individual
TARA LYNN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10344 14TH AVE S, SEATTLE, WA 98168-1689
(206) 245-1097
Mailing address
10344 14TH AVE S, SEATTLE, WA 98168-1689
(206) 245-1097
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN60308738
WA
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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