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Organization

NINFA E.BALANGUE

Active
Parent organization
ADSA NURSE DELEGATION
Other names
n/a
Organization subpart
Yes

Provider details

NPI number
Legal business name
ADSA NURSE DELEGATION
Authorized official
NINFA EVALOBO BALANGUE BSN (REGISTERED NURSE/NURSE DELAGATOR)
(360) 915-6549
Entity
Organization

Contact information

Practice address
9341 HART RD SE, OLYMPIA, WA 98501-9705
(360) 915-6549
(360) 915-6549
Mailing address
9341 HART RD SE, OLYMPIA, WA 98501-9705
(360) 915-6549
(360) 915-6549

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00102147
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11001485
WA
Enumeration date
01/23/2015
Last updated
01/23/2015
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