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Individual

HEIDI EBNER JUST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN 00114867

Contact information

Practice address
14016 A ST S, TACOMA, WA 98444-4662
(253) 503-3649
Mailing address
820 BIRCH ST, STEILACOOM, WA 98388-3702
(253) 820-9733

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
00114867
WA

Other

Enumeration date
07/13/2017
Last updated
07/13/2017
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