Individual
PAUL TIMOTHY DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICENSED NURSE
Contact information
Practice address
3629 S D ST, TACOMA, WA 98418-6813
(253) 649-1406
Mailing address
7501 YAKIMA AVE, TACOMA, WA 98408-5432
(206) 405-0603
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00046370
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP00046370
COMMERCIAL
WA
05
—
LP00046370
—
WA
Enumeration date
10/29/2018
Last updated
07/08/2022
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