Individual
RYAN ROMERO SWINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN/LPN
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER, 9040 JACKSON AVE, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100
(253) 968-0982
Mailing address
MADIGAN ARMY MEDICAL CENTER, 9040 JACKSON AVE, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
339685
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
339685
TEXAS BOARD OF NURSING
TX
Enumeration date
10/12/2018
Last updated
10/12/2018
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