Individual
MRS. LUZVIMINDA IMPERIAL MONAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12530 VINE MAPLE DR SW, LAKEWOOD, WA 98499-1134
(253) 292-7698
(253) 328-5566
Mailing address
611 S 88TH ST, TACOMA, WA 98444-6308
(253) 292-7698
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
753804
WA
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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