Individual
MRS. DAWNRENE' CRISOSTOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9040 JACKSON BLVD FAMILY MEDICINE CARDINAL/SWAN, TACOMA, WA 98431-0001
(253) 968-4126
(253) 968-2826
Mailing address
9040 JACKSON BLVD FAMILY MEDICINE CARDINAL/SWAN, TACOMA, WA 98431-0001
(253) 968-4126
(253) 968-2826
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN00128211
WA
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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