Individual
LYNEAH MACELLA MACIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
307 W COTA ST, SHELTON, WA 98584-2265
(360) 205-8002
Mailing address
702 MARTIN LUTHER KING JR WAY APT 209, TACOMA, WA 98405-4144
(714) 277-7724
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61215169
WA
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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