Individual
MARIA NIKOLAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30809 1ST AVE S, FEDERAL WAY, WA 98003-4074
(253) 839-2030
(253) 839-1071
Mailing address
9017 DEKOVEN DR SW, LAKEWOOD, WA 98499-2174
(253) 468-6692
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60199150
WA
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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