Individual
DONALD JOSEPH DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
32205 NE 25TH LN, CARNATION, WA 98014-6112
(425) 214-2481
Mailing address
3205 NE 25TH LANE, CARNATION, WA 98014
(425) 214-2481
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
60483408
WA
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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