Individual
RUTH WAKARIMA MARTINEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 S 336TH ST, FEDERAL WAY, WA 98003-8961
(508) 615-5272
Mailing address
PO BOX 4533, FEDERAL WAY, WA 98063-4533
(508) 615-5272
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60790075
WA
Other
Enumeration date
09/20/2020
Last updated
09/20/2020
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