Individual
KERRICH NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
836 S ROCHESTER ST, TACOMA, WA 98465-1836
(253) 301-7887
Mailing address
836 S ROCHESTER ST, TACOMA, WA 98465-1836
(253) 301-7887
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00055779
WA
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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