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ASTARA SUNRISE BURLINGAME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN LAC LMP RH

Contact information

Practice address
2603 BRIDGEPORT WAY W, SUITE J UNIVERSITY PLACE, UNIVERSITY PLACE, WA 98466-4724
(206) 370-0356
Mailing address
7040 S 12TH ST, 3909, TACOMA, WA 98465-2727
(206) 370-0356

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00055978
WA
171100000X
Acupuncturist
Primary
AC00000056
WA
174400000X
Specialist
MA000001692
WA

Other

Enumeration date
07/11/2007
Last updated
06/10/2010
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