Individual
DARLENE SUE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
426 4TH AVE NE, PUYALLUP, WA 98372-3049
(253) 841-8743
Mailing address
15511 129TH AVENUE CT E, PUYALLUP, WA 98374-9644
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN00120532
WA
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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