Individual
ANA ROSE MAMURIC LUMAUIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21851 84TH AVE S STE 101, KENT, WA 98032-1958
(425) 687-7082
Mailing address
23630 126TH PL SE, KENT, WA 98031-3728
(253) 246-9347
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
60184626
WA
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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