Individual
MRS. KATIE LEE NOSEWORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9040 JACKSON AVE ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-0001
(253) 968-3869
Mailing address
9040 JACKSON AVE., ATTN: MCHJ-CLQ-C, TACOMA, WA 97431-1100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
338352
TX
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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