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Individual

KARISSA BOTSET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
9115 154TH AVENUE CT NW, LAKEBAY, WA 98349-9850
(253) 649-5080
(360) 252-7016
Mailing address
2128 69TH AVE W # E107, UNIVERSITY PLACE, WA 98466-5856
(813) 480-6498

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LP101070
GA
164W00000X
Licensed Practical Nurse
Primary
LP61274753
WA

Other

Enumeration date
03/31/2025
Last updated
03/31/2025
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