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Individual

MS. MARY MACNAB CRUISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
15302 40TH AVE W APT 2-203, LYNNWOOD, WA 98087-8972
(206) 696-3436
Mailing address
15302 40TH AVE W APT 2-203, LYNNWOOD, WA 98087-8972
(206) 696-3436

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN00079718
WA
163WG0600X
Gerontology Registered Nurse
RN00079718
WA

Other

Enumeration date
04/30/2021
Last updated
01/31/2023
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