Individual
DONNA FAYE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
325 E PIONEER AVE, PUYALLUP, WA 98372-3265
(253) 445-8120
(253) 697-3730
Mailing address
325 E PIONEER AVE, PUYALLUP, WA 98372-3265
(253) 445-8120
(253) 697-3730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60171925
WA
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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