Individual
KERRIANNE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1123 PACIFIC AVE, TACOMA, WA 98402-4303
(253) 682-1710
Mailing address
1123 PACIFIC AVE, TACOMA, WA 98402-4303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
RN00160354
WA
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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