Individual
ANITA MAMMOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 E MEEKER ST, SUITE 200, KENT, WA 98030-5904
(253) 852-2866
(253) 852-3102
Mailing address
2816 S HUDSON ST, SEATTLE, WA 98108-2131
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN00068100
WA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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