Individual
PENI ROBIN LONGMATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 228-3440
(425) 656-5565
Mailing address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 228-3440
(425) 656-5565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00089112
WA
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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