Individual
KALEB ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4411 BROWNS POINT BLVD, TACOMA, WA 98422-2041
(253) 925-9220
Mailing address
4411 BROWNS POINT BLVD, TACOMA, WA 98422-2041
(253) 925-9220
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61426634
WA
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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