Individual
LARISA RASKINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
204 NE 94TH ST, SEATTLE, WA 98115-2752
(206) 901-2010
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
(206) 901-2010
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00048889
WA
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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