Individual
MRS. TESHAMA NICHOLE BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1313 BROADWAY, TACOMA, WA 98402-3400
(253) 209-4591
Mailing address
18208 SE 246TH ST, COVINGTON, WA 98042-4853
(253) 209-4591
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200942602RN
OR
163W00000X
Registered Nurse
RN 9291520
FL
163WH0200X
Home Health Registered Nurse
Primary
RN60174365
WA
Other
Enumeration date
04/13/2010
Last updated
10/02/2024
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