Individual
MS. CAROL KOMAROMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
401 BUSTER RD, TOPPENISH, WA 98948-9792
(509) 865-2102
(509) 865-5374
Mailing address
401 BUSTER RD, TOPPENISH, WA 98948-9792
(509) 865-2102
(509) 865-5374
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
LP00033315
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00033315
LICENSED PRACTICAL NURSE#
WA
Enumeration date
02/12/2007
Last updated
07/08/2007
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