Individual
ALSTON MABON PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1420 W JAMES LN APT 1H13, KENT, WA 98032-4670
(206) 604-4377
Mailing address
1420 W JAMES LN APT 1H13, KENT, WA 98032-4670
(206) 604-4377
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC61304150
WA
Other
Enumeration date
12/25/2023
Last updated
12/25/2023
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