Individual
MRS. TARESA A. SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1010 S. 336TH ST. SUITE 210, FEDERAL WAY, WA 98003
(866) 835-8091
(888) 835-7102
Mailing address
1010 S. 336TH ST. SUITE 210, FEDERAL WAY, WA 98003
(866) 835-8091
(888) 835-7102
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60126073
WA
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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