Individual
CANDY WIRGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
(253) 241-4237
Mailing address
8109 65TH AVENUE CT SW, LAKEWOOD, WA 98499-2504
(253) 343-3751
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60319194
WA
Other
Enumeration date
12/27/2014
Last updated
12/27/2014
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