Individual
GLORIA O RETUERMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 NE 94TH ST, SEATTLE, WA 98115-2752
(206) 901-2000
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00049240
WA
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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