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Individual

ROSE WAKABA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10113 BECKER DR SW, LAKEWOOD, WA 98499-4711
(253) 287-8119
Mailing address
10113 BECKER DR SW, LAKEWOOD, WA 98499-4711
(253) 287-8119

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60868031
WA
163WC1600X
Continuing Education/Staff Development Registered Nurse
RN60868031
WA

Other

Enumeration date
08/24/2023
Last updated
08/24/2023
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