Individual
ESTHER KWAISOKA RAINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18558 97TH AVE E, PUYALLUP, WA 98375-6325
(141) 749-6291
Mailing address
18558 97TH AVE E, PUYALLUP, WA 98375-6325
(141) 749-6291
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60678705
WA
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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