Individual
ALTA BLANCHE KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP NNP-BC
Contact information
Practice address
3900 CAPITAL MALL DR SW, OLYMPIA, WA 98502-8654
(360) 704-4743
Mailing address
315 MARTIN LUTHER KING JR WAY, TACOMA GENERAL HOSPITAL-PEDIATRIX MEDICAL GROUP, TACOMA, WA 98405-4234
(253) 403-1019
(253) 403-1686
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP60289316
WA
Other
Enumeration date
04/25/2014
Last updated
10/24/2019
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