Individual
RYAN LEE BALAG SHARPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSING ASSISTANT
Contact information
Practice address
10317 110TH ST SW, LAKEWOOD, WA 98498-1515
(253) 533-4815
Mailing address
10317 110TH ST SW, LAKEWOOD, WA 98498-1515
(253) 533-4815
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
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