Individual
MRS. ESTRELLA E. HATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
OF VETERANS AFFAIRS, TACOMA, WA 98493-5000
(253) 583-5056
(253) 583-4150
Mailing address
7602 95TH AVE SW, LAKEWOOD, WA 98498-3214
(253) 582-2059
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
25010
CO
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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