Individual
VICKIE LINN BURNSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1313 BROADWAY, TACOMA, WA 98402-3400
(253) 301-6400
Mailing address
1313 BROADWAY, TACOMA, WA 98402-3400
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC10003958
WA
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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