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Organization

PROVIDER TRAINING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MORRIS ELLSWORTH STERLING JR. REGISTERED NURSE (DIRECTOR OF CLINICAL SERVICES)
(253) 272-3376
Entity
Organization

Contact information

Practice address
4212 S 36TH ST, TACOMA, WA 98409-2238
(253) 272-3376
Mailing address
4212 S 36TH ST, TACOMA, WA 98409-2238
(253) 272-3376

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
00167311
WA

Other

Enumeration date
07/09/2013
Last updated
07/09/2013
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