Individual
JORGE PRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
315 MLK JR WAY, TACOMA, WA 98405
(253) 403-1000
Mailing address
925 10TH AVE E UNIT C, SEATTLE, WA 98102-4511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61009815
WA
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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