Individual
JULIA LYSYUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 228-3450
Mailing address
2967 38TH AVE NE, TACOMA, WA 98422-2601
(206) 931-6766
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
128622
NC
Other
Enumeration date
11/15/2019
Last updated
12/26/2019
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