Organization
SPECIALTY WOUND AND FOOT CARE
Active
Organization
SPECIALTY WOUND AND FOOT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY B CAMERON GNP (OWNER/PROVIDER)
(253) 536-2504
Entity
Organization
Contact information
Practice address
4901 108TH ST SW, LAKEWOOD, WA 98499-3724
(253) 584-3577
Mailing address
4901 108TH ST SW, LAKEWOOD, WA 98499-3724
(253) 584-3577
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP300003906
WA
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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