Individual
RHONDA JEAN DICOSTANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM/ARNP
Contact information
Practice address
1812 S J ST, STE 120, TACOMA, WA 98405-4964
(253) 207-4890
(253) 207-4871
Mailing address
1812 S J ST, STE 120, TACOMA, WA 98405-4964
(253) 207-4890
(253) 207-4871
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00144184
WA
367A00000X
Advanced Practice Midwife
Primary
AP30006812
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0215241
STATE L&I
WA
05
—
1043186
—
WA
01
—
8942677
STATE CRIME VICTIMS
WA
05
—
9650557
—
WA
01
—
P00396729
RAILROAD
WA
Enumeration date
09/01/2006
Last updated
10/06/2023
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