Individual
MS. LOAN THUY RETCHLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4301 S PINE ST STE 301, TACOMA, WA 98409-7206
(253) 476-6500
(253) 476-6547
Mailing address
8201 183RD AVE E, BONNEY LAKE, WA 98391-7075
(253) 561-2298
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30006634
WA
363LF0000X
Family Nurse Practitioner
AP30006634
WA
Other
Enumeration date
05/08/2006
Last updated
10/11/2024
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