Individual
MRS. ANA AMPARO PENAS VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2505 SOUTH 38TH ST, BLDG A SUITE 109, TACOMA, WA 98409
(253) 274-3943
Mailing address
5750 TROON AVE SW, PORT ORCHARD, WA 98367-9187
(360) 876-2120
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
AP60084656
WA
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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