Individual
IAN SERRATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4800 COLLEGE ST SE, LACEY, WA 98503-4389
(360) 493-4500
(360) 412-6510
Mailing address
4800 COLLEGE ST SE, LACEY, WA 98503-4389
(360) 493-4500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61181633
WA
Other
Enumeration date
08/26/2018
Last updated
10/20/2021
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