Individual
ALEXANDRA VICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
18621 29TH AVE E, TACOMA, WA 98445-4323
(253) 820-5572
Mailing address
18621 29TH AVE E, TACOMA, WA 98445-4323
(253) 820-5572
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
60495441
WA
Other
Enumeration date
04/08/2017
Last updated
04/08/2017
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