Individual
COREENA KLASSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5402 YAKIMA AVE, TACOMA, WA 98408-5642
(253) 566-0690
Mailing address
5402 YAKIMA AVE, TACOMA, WA 98408-5642
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
WA
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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