Individual
MRS. TERESA KAUFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1420 SE COLE RD, SHELTON, WA 98584-9258
(360) 427-4003
(360) 427-2734
Mailing address
1420 SE COLE RD, SHELTON, WA 98584-9258
(360) 427-4003
(360) 427-2734
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC10023340
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048952
—
WA
Enumeration date
10/09/2007
Last updated
06/07/2013
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