Individual
DEMETRIA HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3727 S TACOMA WAY, TACOMA, WA 98409-3134
(253) 300-7474
Mailing address
15 OREGON AVE STE 308, TACOMA, WA 98409-7462
(253) 304-7753
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00053593
WA
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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