Individual
DEMICE MITTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3320 AUBURN WAY N, AUBURN, WA 98002-1805
(253) 999-5723
Mailing address
10021 16TH AVE E, TACOMA, WA 98445-3941
(253) 720-7609
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60012429
WA
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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