Individual
RYAN LEE BALAG SHARPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSING ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC60553625
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WDL23B79673B
DRIVER'S LICENSE
WA
Enumeration date
08/11/2020
Last updated
08/11/2020
Update your record
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