Individual
BONNY KAY BALDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 W MAIN, PUYALLUP, WA 98371-5328
(253) 841-8700
(253) 841-8655
Mailing address
214 W MAIN, PUYALLUP, WA 98371-5328
(253) 841-8700
(253) 841-8655
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP 00041935
WA
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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