Individual
POOJA KC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31518 120TH CT SE, AUBURN, WA 98092-5102
(206) 707-1309
Mailing address
31518 120TH CT SE, AUBURN, WA 98092-5102
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60882074
WA
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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