Individual
RYAN TRAINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
955 POWELL AVE SW, RENTON, WA 98055-2908
(206) 244-0264
Mailing address
1704 S 263RD PL, DES MOINES, WA 98198-9230
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN00132695
WA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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