Individual
DELORES MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
26401 PACIFIC HWY S, DES MOINES, WA 98198-9247
(206) 586-2583
Mailing address
400 5TH AVE, SUITE 1000, SEATTLE, WA 98104
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60573114
WA
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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