Individual
KALANDA ADCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2405 S 300TH ST, FEDERAL WAY, WA 98003-4225
(253) 945-4409
Mailing address
33117 35TH AVE SW, FEDERAL WAY, WA 98023-2661
(425) 273-0708
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61309582
WA
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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