Individual
TERESA ELIZABETH KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
815 S PEARL ST, TACOMA, WA 98465-2117
(253) 396-5937
Mailing address
815 S PEARL ST, TACOMA, WA 98465-2117
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN00114854
WA
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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