Individual
CYNTHIA RENE NATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3306 SE PENGUIN LN, PORT ORCHARD, WA 98367-9583
(360) 895-0486
Mailing address
3306 SE PENGUIN LN, PORT ORCHARD, WA 98367-9583
(360) 895-0486
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN60094839
WA
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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