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Individual

CARLOTA PERALTA DEVICTORIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2600 SW HOLDEN ST # C-208, SEATTLE, WA 98126-3505
(206) 933-7000
Mailing address
2128 SW HOLDEN ST APT C208, SEATTLE, WA 98106-3461
(808) 372-2645

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61146799
WA

Other

Enumeration date
05/10/2021
Last updated
05/10/2021
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