Individual
MIRELLA CAMARENA-RIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
15675 AMBAUM BLVD SW, BURIEN, WA 98166-2523
(206) 778-6192
Mailing address
15675 AMBAUM BLVD SW, BURIEN, WA 98166-2523
(206) 778-6192
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60306683
WA
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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