Individual
TAYLOR R DUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(253) 968-1110
Mailing address
8831 NATOOKA CT SE, OLYMPIA, WA 98513-7715
(520) 289-4748
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
202468
OK
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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