Individual
GRACE CAROLINE W KAMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 S 13TH ST STE 300, MOUNT VERNON, WA 98274-4100
(360) 336-9757
(360) 814-5237
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61495059
WA
Other
Enumeration date
09/11/2023
Last updated
11/21/2023
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