Individual
MARY D'ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25120 43RD AVE S, KENT, WA 98032-4158
(253) 941-0947
Mailing address
25120 43RD AVE S, KENT, WA 98032-4158
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61319493
WA
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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