Individual
ROSE NDUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED NURSE
Contact information
Practice address
10344 14TH AVE S, SEATTLE, WA 98168-1689
(206) 245-1086
Mailing address
11404 105TH AVE SW APT B7, LAKEWOOD, WA 98498-6834
(253) 844-5750
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60645770
WA
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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