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Individual

JOANE MHARETTE CASALLO-DALIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LP60221107

Contact information

Practice address
1116 SUMMIT AVE, SEATTLE, WA 98101-2831
(206) 323-0930
Mailing address
3100 MAIN AVE S, RENTON, WA 98055-5792
(253) 632-0367

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60221107
WA

Other

Enumeration date
10/26/2016
Last updated
10/26/2016
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