Individual
KRISTEN SPADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
23200 100TH AVE W, EDMONDS, WA 98020-5020
(425) 431-7270
Mailing address
20420 68TH AVE W, LYNNWOOD, WA 98036-7405
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60116307
WA
Other
Enumeration date
11/15/2012
Last updated
01/11/2016
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