Individual
GRACE W. WAMWAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9111 FOREST AVE SW, LAKEWOOD, WA 98498-3523
(253) 317-3676
Mailing address
3207 83RD ST S, LAKEWOOD, WA 98499-5068
(253) 317-3676
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61254979
WA
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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