Individual
LATRICIA NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-R
Contact information
Practice address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
(360) 479-4994
(360) 405-4011
Mailing address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
(360) 479-4994
(360) 405-4011
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MR60433821
WA
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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