Individual
MRS. THERESA MARIE WARDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 15TH ST SW, PUYALLUP, WA 98371-5251
(253) 435-6831
(253) 840-8856
Mailing address
6507 103RD STREET CT E, PUYALLUP, WA 98373-1188
(253) 848-8353
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN00069386
WA
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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