Individual
CHARLENE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12801 144TH ST E, PUYALLUP, WA 98374-3548
(253) 841-8603
Mailing address
410 ISAAC PINCUS ST, STEILACOOM, WA 98388-2904
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN00054100
WA
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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