Individual
MRS. RACHAEL L SOUTHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
9822 CORAL DR SW, LAKEWOOD, WA 98498-3306
(253) 232-0778
Mailing address
9822 CORAL DR SW, LAKEWOOD, WA 98498-3306
(253) 232-0778
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
LP60337656
WA
164W00000X
Licensed Practical Nurse
Primary
LP60337656
WA
Other
Enumeration date
08/06/2018
Last updated
03/13/2025
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