Individual
MANDY CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1812 S J ST, TACOMA, WA 98405-4964
(253) 552-4900
Mailing address
17254 140TH AVE SE, FAIRWOOD CARE CLINIC, RENTON, WA 98058
(800) 722-3009
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60781238
WA
Other
Enumeration date
08/07/2017
Last updated
02/24/2019
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